高頻超聲、彈性成像及超聲造影對甲狀腺良惡性結(jié)節(jié)的診斷

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1、高頻超聲、彈性成像及超聲造影對甲狀腺良惡性結(jié)節(jié)的診斷高頻超蘆、彈性成像及超聲造影對甲狀腺良惡性結(jié)節(jié)的診斷［摘要］目的探討高頻超聲、彈性成像及超聲造影對甲狀腺良惡性結(jié)節(jié)診斷結(jié)果情況。方法分析撫順市中心醫(yī)院超聲科2012年5月?2014年6月甲狀腺結(jié)節(jié)患者168例的臨床資料，分別通過高頻超聲、彈性成像及超聲造影檢查，100例良性結(jié)節(jié)，68例惡性結(jié)節(jié)。結(jié)果高頻超聲聲像圖在良惡性鑒別有意義的是病變內(nèi)部結(jié)構(gòu)、內(nèi)部回聲情況、形狀、邊界清晰度、周邊芮暈規(guī)則性、鈣化程度(均P〈0.05)o良性結(jié)節(jié)彈性成像分級I、II級比例(90.0%)明顯高

2、于惡性結(jié)節(jié)(14.7%),良性結(jié)節(jié)彈性成像分級III、IV級比例(10.0%)明顯低于惡性結(jié)節(jié)(85.3%),實(shí)性病變內(nèi)部結(jié)構(gòu)、低回聲、不規(guī)則形狀、不清晰邊界、不規(guī)則周邊聲暈、微鈣化聲像圖特征是區(qū)別良惡性重耍的指標(biāo)，良性甲狀腺結(jié)節(jié)不均勻增強(qiáng)模式比例(10.0%)明顯低于惡性結(jié)節(jié)(75.0%),良性甲狀腺結(jié)節(jié)環(huán)形增強(qiáng)(65.0%)明顯高于惡性結(jié)節(jié)(1.5%),差異均有統(tǒng)計(jì)學(xué)意義(P<0.05)o結(jié)論高頻超聲、彈性成像及超聲造影對甲狀腺良惡性結(jié)節(jié)診斷具有重要的價(jià)值，可以為甲狀腺良惡性結(jié)節(jié)鑒別診斷提供可靠的理論依據(jù)。［關(guān)鍵詞］高頻超

3、聲；彈性成像；超聲造影；甲狀腺；良惡性結(jié)節(jié)［中圖分類號］R736.1［文獻(xiàn)標(biāo)識碼］A［文章編號］1673-7210(2014)10(b)-0076-04Diagnosisofthyroidbenignandmalignantnodulesbyhighfrequencyultrasonic,elastography,ultrasoundcontrastZHANGChenHUShuipingAYUJingZHANGMinDepartmentofUltrasound,FushunCentralHospital,LiaoningPro

4、vince,Fushun113008,China［Abstract］ObjectiveToapproachdiagnosisofthyroidbenignandmalignantnodulesbyhighfrequencyultrasonic,elastography,ultrasoundcontrast?MethodsClinicaldataof168caseswiththyroidbenignandmalignantnodulesinDepartmentofUltrasoundinFushunCentralHospital

5、fromMay2012toJune2014wasobservedbyhighfrequencyultrasonic,elastography,ultrasoundcontrast?Benignnoduleswere100cases,Malignantnoduleswere68cases?ResultsTheidentifymeaningfulofbenignandmalignancyinhighfrequencyultrasonicultrasonographic,whichwasinteriorstructure,echo,

6、shape,boundarydefinition,acoustichalosurroundingtheregularity,calcificationdegree(P<0.05)?TheElasticityimagingclassificationI,IIproportionofbenignnodules(90.0%)washigherthanmalignantnodules(14.7%),theelasticityimagingclassificationIII,IVproportionofbenignnodules(10.

7、0%)washigherthanmalignantnodules(85?3%),internalstructureofsolidlesions,lowecho-level,irregularshape,in-definedboundary,irregularperipheralhalo,microcalcificationsonographicfeatureswereimportantindexindifferencebetweenbenignandmalignant?Thediagnosticobservationofthy

8、roidbenignandmalignantnodulesbyhighfrequencyultrasonic,elastography,ultrasoundcontrastweredifferentbetweenbenignandmalignantimportantindic