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| CEUS灌注模式与超声弹性成像及MSCT对甲状腺良恶性结节的鉴别价值 |
| 戴标,吴富淋,黄婴婷,冯霖,强旭钊,施丽丹,黄惠平,傅铮,李惠彬 |
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| (宁德师范学院附属宁德市医院 内分泌科) |
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| 摘要: |
| 【摘要】 目的：探究超声造影（CEUS）灌注模式与超声弹性成像（UE）及多层螺旋CT（MSCT）对甲状腺良恶性结节的鉴别价值。方法：选取2018年12月至2020年12月本院收治的甲状腺结节患者85例（94个结节）为研究对象，所有患者术前均行CEUS、UE及MSCT检查。以病理结果为诊断金标准，分析CEUS、UE及MSCT对甲状腺良恶性结节的诊断价值。结果。本研究中85例甲状腺结节患者中共94个结节，经病理诊断良性结节70个，恶性结节24个。CEUS检查显示，甲状腺良性结节边界清晰、形态规则、无细小钙化、血流不丰富、周边环形、高增增强结节显著多于恶性组（P<0.05）；MSCT检查显示甲状腺良性结节囊性、形态规则、无细小钙化、结节<2cm、均匀强化及边缘清晰结节数显著多于恶性组（P<0.05）；UE检查显示，甲状腺良性结节弹性评分多为0~2分，恶性结节弹性评分多为3~4分，弹性评分差异具有统计学意义（Z=-6.360，P<0.05）。另CEUS诊断诊断甲状腺良、恶性结节的敏感度、特异度分别为85.71%、83.33%，UE为75.71%、75.00%，MSCT为80.00%、79.17%；三者联合检测为95.71%、91.67%，均高于单项检测。结论 CEUS、UE及MSCT对甲状腺良恶性结节均具有一定的诊断价值，但联合检测价值更高。 |
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| 投稿时间：2021-07-19修订日期：2021-08-30 |
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| Identification value of CEUS perfusion mode, ultrasound elasticography and MSCT on benign and malignant thyroid nodules |
| daibiao,wufulin,huangyingting,fenglin,qiangxuzhao,Shilidan,huanghuiping,fuzheng,lihuibin |
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| Abstract: |
| 【Abstract】Objective: To explore the differential value of ultrasonic radiography (CEUS) perfusion mode, ultrasonic elasticography (UE) and multi-layer spiral CT (MSCT) for benign and malignant thyroid nodules. Methods:Eighty-five (94 nodules) with thyroid nodules admitted from December 2018 to December 2020, and all patients were examined by CEUS, UE and MSCT. The value of CEUS, UE and MSCT in the diagnosis of benign and malignant thyroid nodules was analyzed. Results: In this study, there were 94 nodules in 85 patients with thyroid nodules, including 70 benign nodules and 24 malignant nodules diagnosed by pathology. CEUS examination showed that the benign thyroid nodules had clear boundary, regular shape, no small calcification, poor blood flow, circumferental ring, and hyperenhanced nodules were significantly higher than those in the malignant group (P<0.05); MSCT examination showed that the benign thyroid nodules were cystic, regular in shape, and no small calcification or nodules. The number of 2cm, uniform enhancement and clear edge nodule was significantly higher than that of malignant group (P<0.05); UE examination showed that the elastic score of benign thyroid nodules was mostly 0~2 points, while that of malignant nodules was mostly 3~4 points, and the difference of elastic score was statistically significant (Z=-6.360，P<0.05). In addition, the sensitivity and specificity of CEUS were 85.71% and 83.33%, the UE was 75.71% and 75.00%, the MSCT was 80.00% and 79.17%, respectively. The results of combined detection were 95.71% and 91.67%, both higher than those of single detection. Conclusion:Both CEUS, UE and MSCT have certain diagnostic value for benign and malignant thyroid nodules, but the joint detection value is higher. |
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