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目的研究常规超声与超声弹性成像诊断甲状腺良恶性结节患者的效果。方法选取我院在2012年3月至2015年1月间收治的110例甲状腺结节患者的临床资料,所有患者均经病理证实为甲状腺结节,患者均给予常规超声检查与超声弹性成像检查,分析两种检查方式的检出情况。结果 1常规超声检查恶性率为44.55%,良性率为55.45%,病理检查结果恶性率为29.09%,良性率为70.91%,对比有统计学意义(P<0.05)。2超声弹性成像检查与常规超声检查结果对比无统计学意义(P>0.05)。3常规超声检查的特异度、敏感度、诊断符合率分别为64.10%、65.63%、64.55%,超声弹性成像的特异度、敏感度、诊断符合率分别为92.31%、93.75%、92.73%,对比有统计学意义(P<0.05)。结论超声弹性成像在甲状腺良恶性结节的诊断中应用效果较好,可对良性、恶性结节进行鉴别,值得临床推广应用。
Objective To study the effect of conventional ultrasound and ultrasound elastography in the diagnosis of benign and malignant thyroid nodules. Methods The clinical data of 110 patients with thyroid nodules who were treated in our hospital from March 2012 to January 2015 were selected. All the patients were pathologically confirmed as thyroid nodules. All the patients were given routine ultrasound and elastography. Analysis of the detection of two inspection methods. Results 1 The prevalence of malignancy was 44.55%, the rate of benign rate was 55.45%, the rate of pathological examination was 29.09%, and the rate of benign rate was 70.91%. The difference was statistically significant (P <0.05). 2 ultrasound elastography and routine ultrasound examination results were not statistically significant (P> 0.05). The specificity, sensitivity and diagnostic coincidence rate of routine ultrasound examination were 64.10%, 65.63% and 64.55% respectively. The specificity, sensitivity and diagnostic coincidence rate of ultrasonic elastography were 92.31%, 93.75% and 92.73%, respectively There was statistical significance (P <0.05). Conclusion Ultrasound elastography has a good effect in the diagnosis of benign and malignant thyroid nodules, which can distinguish benign and malignant nodules and is worthy of clinical application.