首页|超声弹性成像技术在诊断甲状腺结节患者结节性质中的临床价值分析

超声弹性成像技术在诊断甲状腺结节患者结节性质中的临床价值分析

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目的:探讨超声弹性成像技术在诊断甲状腺结节患者结节性质中的临床价值。方法:回顾性分析2023年3月—2024年 3月于金乡县人民医院接受甲状腺超声检查的 137例甲状腺结节患者临床资料。所有患者均接受常规超声、手术病理诊断、超声弹性成像技术检查,比较超声弹性成像技术和常规超声检查的诊断效能。结果:手术病理诊断显示,137例接受甲状腺超声检查患者中,诊断出 143个良性甲状腺结节,32个恶性甲状腺结节。与良性甲状腺结节比较,恶性甲状腺结节弹性成像评估等级较高,差异有统计学意义(P<0。05)。超声弹性成像技术检查显示良性结节140个,恶性结节35个;常规超声检查显示良性结节124个,恶性结节51个。超声弹性成像技术和常规超声诊断灵敏度对比,差异无统计学意义(P>0。05);超声弹性成像技术的诊断特异度、准确度均高于常规超声,差异均有统计学意义(P<0。05)。结论:超声弹性成像技术可显示甲状腺结节相对硬度,在一定程度上有助于鉴别甲状腺结节性质,且其诊断效能优于常规超声检查,可为临床诊断提供参考。
Analysis Clinical Value of Ultrasound Elastography in the Diagnosis of Nodule Properties in Patients with Thyroid Nodules
Objective:To investigate the clinical value of ultrasonic elastography in the diagnosis of nodule properties in patients with thyroid nodules.Methods:The clinical data of 137 patients with thyroid nodules who underwent thyroid ultrasonography in Jinxiang County People's Hospital from March 2023 to March 2024 were retrospectively analyzed.All patients underwent routine ultrasound,surgical pathologic diagnosis,and ultrasound elastography.Results:Pathologic diagnosis showed that 143 benign thyroid nodules and 32 malignant thyroid nodules were found in 137 patients who underwent thyroid ultrasonography.Compared with benign thyroid nodules,malignant thyroid nodules had higher elastic imaging evaluation grade,and the difference was statistically significant(P<0.05).Ultrasound elastography showed 140 benign nodules and 35 malignant nodules.Routine ultrasonography showed 124 benign nodules and 51 malignant nodules.There was no significant difference in diagnostic sensitivity between ultrasound elastography and conventional ultrasound(P>0.05).The diagnostic specificity and accuracy of ultrasonic elastography were higher than those of conventional ultrasound,the differences were statistically significant(P<0.05).Conclusion:Ultrasound elastography can show the relative hardness of thyroid nodules,which is helpful to distinguish the nature of thyroid nodules to a certain extent,and its diagnostic efficiency is better than that of conventional ultrasound,which can provide reference for clinical diagnosis.

Thyroid nodulesUltrasound elastographyConventional ultrasoundBenign and malignant nodules

陈振

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山东省金乡县人民医院超声科,山东 济宁 272000

甲状腺结节 超声弹性成像技术 常规超声 良恶性结节

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(20)