| 摘要: |
| 摘 要 目的 评价单独二维超声、弹性成像、超声造影及其联合检查在桥本氏甲状腺炎合并良恶性结节中的诊断价值。方法 对44例桥本氏甲状腺炎患者的54个结节分别行二维超声、弹性成像及超声造影检查，将超声诊断结果与病理结果对照并分析，计算并比较单独二维超声、弹性成像、超声造影及三者联合应用对桥本氏甲状腺炎合并良恶性结节的诊断效能。结果 以TI-RADS 4、5类为二维超声诊断恶性结节的标准，二维超声的诊断敏感性、特异性及准确率分别为50.0%、82.5%、74.0%；以剪切波弹性成像测得结节杨氏模量值≥46.1 kPa作为恶性结节的预测指标，弹性成像的诊断敏感性、特异性及准确率分别为57.1%、85.0%、77.7%；以不均匀性低增强为恶性结节的诊断标准，超声造影的诊断敏感性、特异性及准确率分别为64.3%、80.0%、75.9%；三者联合检查的诊断敏感性、特异性及准确率分别为85.7%、95.0%、92.5%。三者联合检查的准确性高于单一检查，差异均有统计学意义（均P＜0.05）。结论 多模态（二维超声、弹性成像、超声造影）超声联合检查较单一检查对桥本氏甲状腺炎合并良恶性结节更有诊断价值，值得进一步推广应用。 |
| 关键词: 超声检查 桥本氏甲状腺炎 甲状腺结节 良恶性 |
| DOI： |
| 投稿时间：2019-11-27修订日期：2020-08-10 |
| 基金项目:项目基金：四川省成都市卫生局科学研究基金（2016020） |
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| Diagnostic value of multimodal ultrasonography in benign and malignant thyroid nodules |
| Luo Xue |
| (Chengdu Longquanyi District First People''s Hospital) |
| Abstract: |
| ABSTRACT Objective To evaluate the diagnostic value of single two-dimensional ultrasound, elastography, contrast-enhanced ultrasound and their combined examinations in Hashimoto’s thyroiditis with benign and malignant nodules.Methods Two-dimensional ultrasound, elastography, and contrast-enhanced ultrasound were performed on 54 nodules in 44 patients with Hashimoto’s thyroiditis. The ultrasound diagnosis results were compared with the pathological results and analyzed, and the two-dimensional ultrasound, elastography, and ultrasound were calculated and compared. The diagnostic efficiency of angiography and the combination of the three for Hashimoto's thyroiditis with benign and malignant nodules.Results Using TI-RADS 4 and 5 as the criteria for the diagnosis of malignant nodules by two-dimensional ultrasound, the sensitivity, specificity and accuracy of two-dimensional ultrasound are 50.0%, 82.5%, and 74.0%, respectively; measured by shear wave elastography The Young’s modulus value of nodule ≥ 46.1 kPa is used as a predictor of malignant nodules. The diagnostic sensitivity, specificity and accuracy of elastography are 57.1%, 85.0%, and 77.7%, respectively. The low heterogeneity enhancement is The diagnostic criteria for malignant nodules, the diagnostic sensitivity, specificity, and accuracy of contrast-enhanced ultrasound were 64.3%, 80.0%, and 75.9%, respectively; the diagnostic sensitivity, specificity, and accuracy of the three combined examinations were 85.7%, 95.0, respectively %, 92.5%. The accuracy of the combined inspection of the three was higher than that of the single inspection, and the differences were all statistically significant (all P<0.05).Conclusion TMultimodal (two-dimensional ultrasound, elastography, contrast-enhanced ultrasound) combined ultrasound examination is more valuable than a single examination in the diagnosis of Hashimoto's thyroiditis with benign and malignant nodules, and it is worthy of further promotion and application. |
| Key words: Ultrasonography Hashimoto's thyroiditis Thyroid nodules Benign and malignant |
