本文選題：橋本氏甲狀腺炎　切入點：良惡性結(jié)節(jié)　出處：《青海大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:學(xué)習(xí)并討論橋本氏甲狀腺炎合并結(jié)節(jié)的超聲造影與彈性成像的特征,并且同時評價二者單一檢查與聯(lián)合檢查時的準(zhǔn)確性。方法:2015年11月至2016年12月收治本院橋本氏甲狀腺炎合并結(jié)節(jié)患者43(53個)例,分別行彈性成像與CEUS檢查,研究過程中儲存數(shù)據(jù)并分析特征,以穿刺或病理活檢結(jié)果為“金標(biāo)準(zhǔn)”,對比分析,采用spass19.0軟件行數(shù)據(jù)分析。結(jié)果:53個病灶進(jìn)行了病理活檢,良性有32個,惡性有21個,彈性成像檢查示良性病灶的彈性評分均≤4分,惡性病灶的彈性評分均≥2分,CEUS的檢查示良性病灶微泡進(jìn)入特點主要呈現(xiàn)均勻性增強(qiáng),惡性病灶微泡進(jìn)入特點主要呈現(xiàn)不均勻性增強(qiáng)。超聲彈性成像以≥4分為高度惡性指標(biāo),準(zhǔn)確性58.49%,CEUS以不均勻性弱增強(qiáng)為高度惡性指標(biāo),準(zhǔn)確性69.81%,CEUS聯(lián)合彈性成像的準(zhǔn)確性90.57%,較單一的CEUS及彈性成像技術(shù)要高,且差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:CEUS聯(lián)合彈性成像對橋本氏甲狀腺炎合并結(jié)節(jié)性質(zhì)的有較高的診斷價值,為疾病的臨床診治提供了較可靠依據(jù)。
[Abstract]:Objective: to study and discuss the features of sonography and elastic imaging of Hashimoto's thyroiditis with nodules. Methods: from November 2015 to December 2016, 43 (53) patients with Hashimoto's thyroiditis complicated with nodules were examined by elastography and CEUS, respectively. The data were stored and analyzed in the course of the study. The results of puncture or pathological biopsy were regarded as "golden standard". The data were analyzed by spass19.0 software. Results: there were 32 benign lesions and 21 malignant lesions. Elastic imaging showed that the elastic scores of benign lesions were 鈮，

本文編號：1583209