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目的探讨彩色多普勒超声(彩超)与超声弹性成像在甲状腺肿块良恶性诊断中的价值。方法 143例甲状腺肿块患者,随机分为研究组(72例)与对照组(71例)。对照组给予彩色多普勒超声检查,研究组在对照组检查基础上给予超声弹性成像检查。对比两组的诊断结果。结果研究组72例患者中,经病理诊断为滤泡状腺癌7例,结节性甲状腺肿19例,髓样癌5例,甲状腺腺瘤27例,乳头状腺癌14例。对照组71例患者中,经病理诊断为滤泡状腺癌8例,结节性甲状腺肿18例,髓样癌7例,甲状腺腺瘤26例,乳头状腺癌12例。研究组诊断符合率97.22%明显高于对照组的71.83%,差异有统计学意义(P<0.05)。研究组的诊断敏感度96.15%、特异度97.83%均高于对照组的74.07%、70.45%,差异均具有统计学意义(P<0.05)。结论彩色多普勒超声联合超声弹性成像检查可提高甲状腺肿块患者临床诊断的符合率,具有较高的临床诊断价值。
Objective To investigate the value of color Doppler ultrasound and elastography in the diagnosis of benign and malignant thyroid tumors. Methods 143 cases of thyroid mass were randomly divided into study group (72 cases) and control group (71 cases). The control group was given color Doppler ultrasonography. The study group was given ultrasound elastography on the basis of the control group. Comparison of the two groups of diagnostic results. Results Among the 72 patients in the study group, 7 were follicular adenocarcinoma, 19 were nodular goiter, 5 medullary carcinoma, 27 thyroid adenoma and 14 papillary adenocarcinoma. The control group of 71 patients, pathologically diagnosed as follicular adenocarcinoma in 8 cases, nodular goiter in 18 cases, medullary carcinoma in 7 cases, thyroid adenoma in 26 cases, papillary adenocarcinoma in 12 cases. The coincidence rate of the study group was 97.22%, which was significantly higher than that of the control group (71.83%), the difference was statistically significant (P <0.05). The diagnostic sensitivity and specificity of the study group were 96.07% and 97.83%, respectively, which were significantly higher than those of the control group (74.07% and 70.45%, P <0.05). Conclusions Color Doppler ultrasound combined with elastography can improve the coincidence rate of clinical diagnosis in patients with thyroid lumps and has high clinical diagnostic value.