文章摘要
巩海燕,林红军,叶新华,栗翠英,吕颖钺,武晓泓.实时组织弹性成像鉴别诊断甲状腺实性结节的价值[J].南京医科大学学报,2012,(8):1131~1135
实时组织弹性成像鉴别诊断甲状腺实性结节的价值
The differential diagnostic value of real-time tissue elastography imaging in the solid nodules of thyroid
投稿时间:2012-02-29  
DOI:10.7655
中文关键词: 超声诊断  实时组织弹性  甲状腺  结节
英文关键词: ultrasonic diagnosis  real-time tissue elastography  thyroid  nodule
基金项目:
作者单位
巩海燕 南京医科大学第一附属医院超声诊断科,江苏 南京 210029 
林红军 南京医科大学第一附属医院超声诊断科,江苏 南京 210029 
叶新华 南京医科大学第一附属医院超声诊断科,江苏 南京 210029 
栗翠英 南京医科大学第一附属医院超声诊断科,江苏 南京 210029 
吕颖钺 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
武晓泓 南京医科大学第一附属医院内分泌科,江苏 南京 210029 
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中文摘要:
      目的:探讨实时组织弹性成像在甲状腺实性结节中的鉴别诊断价值?方法:对25例(35个结节)甲状腺结节患者术前进行常规超声及实时组织弹性成像检查,结果与术后病理对照分析? 结果:常规超声鉴别诊断甲状腺良恶性结节的灵敏度?特异度?准确度分别为71.43%(10/14)?95.24%(20/21)?85.71%(30/35)?超声弹性成像鉴别诊断甲状腺结节良恶性的灵敏度?特异度?准确度分别为64.28%(9/14)?71.43%(15/21)?68.57%(24/35)?两者结合的灵敏度?特异度?准确度分别为85.71%(12/14)?71.43%(15/21)?77.14%(27/35)?结论:实时组织弹性成像对甲状腺实性结节具有一定的鉴别诊断价值,其与常规超声结合能提高对甲状腺良恶性结节诊断的灵敏度,且方法简便?经济?无创,值得在临床应用推广?
英文摘要:
      Objective:To explore the value of real-time tissue elastography imaging in the diagnosis of solid nodules of thyroid. Methods:The preoperational conventional ultrasound and real-time tissue elastography imaging were carried out in 25 patients (including 35 nodules). The results were compared with pathological results. Results:The sensitivity,specificity,and accuracy of conventional ultrasound in diagnosing the malignant nodules of thyroid were 71.43%(10/14)?95.24%(20/21)?85.71%(30/35),respectively. While the sensitivity,specificity,accuracy of real-time tissue elastography imaging respectively were 64.28%(9/14)?71.43%(15/21)?68.57%(24/35). When both of the two methods were used,the sensitivity,specificity,and accuracy were 85.71%(12/14)?71.43%(15/21)?77.14%(27/35). Conclusion:Real-time tissue elastography imaging is valuable in the differential diagnosis of thyroid nodules. When applied together with conventional ultrasound,it may improve the sensitivity of diagnosing.
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