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目的:研究分析超声弹性成像与常规超声诊断甲状腺良恶性结节的应用价值。方法:选取2012年11月~2016年11月在本院经手术病理证实的60例患者73个甲状腺结节病灶作为本次研究样本,根据病理诊断结果 73个甲状腺结节中61个为良性病灶,12个为恶性病灶,将患者的病理诊断结果与患者术前做的超声弹性成像、常规超声诊断结果进行对比研究。结果:常规超声诊断结果显示73个结节病灶中良性66个,恶性结节7个,其主要的鉴别指标是结节形态、微钙化、纵横比及阻力指数等;而超声弹性成像诊断结果显示良性结节62个,恶性结节有11个,其诊断的评估标准是以弹性成像硬度分级为主。结论:在甲状腺良恶性结节术前超声弹性成像诊断方式较优于常规超声诊断方式,且对甲状腺结节性质、程度等评估具有良好的指导作用,因此甲状腺超声弹性成像诊断应用价值高,值得在临床上被推广和应用。
Objective: To study the value of ultrasonic elastography and routine ultrasound in the diagnosis of benign and malignant thyroid nodules. Methods: Seventy-three thyroid nodules from 60 patients with pathologically confirmed thyroid nodules in our hospital from November 2012 to November 2016 were selected as the study samples. According to the pathological findings, 61 of 73 thyroid nodules were benign , 12 were malignant lesions, the pathological diagnosis of patients with the patient’s preoperative ultrasound elastography, routine ultrasound diagnosis results were compared. Results: The results of routine ultrasound diagnosis showed that there were 66 benign and 7 malignant nodules in 73 nodules. The main distinguishing indexes were nodular morphology, microcalcification, aspect ratio and resistance index. The diagnostic results of ultrasonic elastography There were 62 benign nodules and 11 malignant nodules. The diagnostic criteria for the diagnosis were based on the elastography grade. Conclusion: The preoperative ultrasonic elastography in the diagnosis of benign and malignant thyroid nodules is superior to conventional ultrasonic diagnostic methods in diagnosis of benign and malignant thyroid nodules, and it has a good guidance on the evaluation of the nature and extent of thyroid nodules. Therefore, it is worthwhile to diagnose thyroid ultrasound elastography In clinical practice and application.