本文選題：甲狀腺腫瘤 + 超聲檢查��； 參考：《中國(guó)醫(yī)學(xué)影像技術(shù)》2015年07期

【摘要】：目的探討二維超聲聯(lián)合CEUS對(duì)良惡性甲狀腺結(jié)節(jié)的鑒別診斷價(jià)值。方法對(duì)94例甲狀腺結(jié)節(jié)患者(共99個(gè)結(jié)節(jié))行常規(guī)超聲、CEUS檢查,觀察甲狀腺結(jié)節(jié)的二維超聲、CEUS特征。分析比較良、惡性甲狀腺病變超聲特征的差異。對(duì)存在統(tǒng)計(jì)學(xué)意義的觀察指標(biāo)進(jìn)行賦值后、比較各分值的鑒別診斷效能。結(jié)果 99個(gè)甲狀腺結(jié)節(jié)中,30個(gè)為惡性結(jié)節(jié),69個(gè)為良性結(jié)節(jié)。良、惡性病灶二維聲像圖特征中,回聲、縱橫比、形態(tài)、邊界、鈣化、回聲均勻度的差異均有統(tǒng)計(jì)學(xué)意義(P均0.05);CEUS特征中,相對(duì)始入時(shí)間、環(huán)狀增強(qiáng)、后期低增強(qiáng)的差異均有統(tǒng)計(jì)學(xué)意義(P均0.05)。二維超聲與CEUS參數(shù)的總評(píng)分≥4分時(shí),可獲得較好的敏感度及特異度、分別為86.67%(26/30)、78.26%(54/69)。結(jié)論二維超聲聯(lián)合CEUS是鑒別診斷甲狀腺結(jié)節(jié)良、惡性的一種可行、有效的方法。
[Abstract]:Objective to evaluate the value of two-dimensional ultrasound combined with CEUS in differential diagnosis of benign and malignant thyroid nodules. Methods 94 patients with thyroid nodules (99 nodules) were examined by conventional CEUs. The ultrasonographic characteristics of benign and malignant thyroid lesions were analyzed and compared. The differential diagnostic efficacy of each score was compared after the evaluation of the observed indexes with statistical significance. Results of 99 thyroid nodules, 30 were malignant and 69 were benign. The differences of echo, aspect ratio, shape, boundary, calcification and echo uniformity in the two dimensional sonographic features of benign and malignant lesions were statistically significant (P < 0.05). The difference of low enhancement was statistically significant (P < 0.05). When the total score of 2-D ultrasound and CEUS parameter is 鈮，

本文編號(hào)：1919754