首页|不同超声技术联合检查在桥本氏甲状腺炎合并良恶性结节中的诊断价值

不同超声技术联合检查在桥本氏甲状腺炎合并良恶性结节中的诊断价值

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目的:探讨不同超声技术联合检查在桥本氏甲状腺炎(HT)合并良恶性结节中的诊断价值.方法:将本院2021 年5 月至2022 年6 月58 例HT合并良恶性结节患者中62 个结节纳入研究,均行二维超声检查、超声造影与弹性超声联合检查,以病理诊断为金标准,观察两种技术检验效能、造影增强状况.结果:58 例HT合并良恶性结节患者中62 个结节经病理检查显示恶性结节 16 个,良性结节46 个;超声造影与弹性超声联合检查显示恶性结节 14 个,良性结节48 个;二维超声检查显示恶性结节 10 个,良性结节 52 个.联合检查组检测灵敏度、准确度明显高于二维超声组(P<0.05);特异度、阴性预测值、阳性预测值与二维超声组对比差异无统计学意义(P>0.05);联合检查组良性与恶性造影增强均优于二维超声(P<0.05).结论:超声造影与弹性超声联合检查在HT合并良恶性结节中的诊断价值高于单独二维超声检查.
The diagnostic value of combining different ultrasound techniques in Hashimoto's thyroiditis with benign and malignant nodules
Objective:To explore the diagnostic value of different ultrasound techniques combined in Hashimoto's thyroiditis(HT)with benign and malignant nodules.Methods:A total of 62 nodules from 58 pa-tients with HT complicated with benign and malignant nodules in our hospital from May 2021 to June 2022 were included in the study.All patients underwent a combination of two-dimensional ultrasound,contrast-en-hanced ultrasound,and elastography,with pathological diagnosis as the gold standard.The efficacy and contrast enhancement of the two techniques were observed.Results:Among 58 patients with HT combined with benign and malignant nodules,62 nodules were found to have 16 malignant nodules and 46 benign nodules through pathological examination.The combined examination of contrast-enhanced ultrasound and elastography showed 14 malignant nodules and 48 benign nodules;Two dimensional ultrasound examination showed 10 malignant nodules and 52 benign nodules.The sensitivity and accuracy of the joint examination group were significantly higher than those of the two-dimensional ultrasound group(P<0.05).There was no statistically significant difference in specificity,negative predictive value,and positive predictive value between the joint examination group and the two-dimensional ultrasound group(P>0.05);The accuracy of benign and malignant contrast-enhanced examinations in the joint examination group was better than that of two-dimensional ultrasound(P<0.05).Conclusion:The diagnostic value of the combination of contrast-enhanced ultrasound and elastog-raphy in HT with benign and malignant nodules is higher than that of two-dimensional ultrasound alone.

Two dimensional ultrasoundContrast-enhanced ultrasoundElastic ultrasoundThyroidi-tisBenign and malignant nodules

韩先娥

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平顶山市第二人民医院,河南 平顶山 467000

二维超声 超声造影 弹性超声 甲状腺炎 良恶性结节

2024

黔南民族医专学报
黔南民族医学高等专科学校

黔南民族医专学报

影响因子:0.235
ISSN:1008-4983
年,卷(期):2024.37(1)
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