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  本文選題：聲脈沖輻射力成像技術(shù) + 聲觸診組織成像　； 參考：《蘇州大學(xué)》2014年碩士論文

【摘要】：1.研究目的：探討聲脈沖輻射力成像技術(shù)（Acoustic Radiation Force Impulse，ARFI）在甲狀腺良、惡性結(jié)節(jié)鑒別診斷中的應(yīng)用價值。 2.方法：選取2012年9月~2013年12月在本院進行診治的甲狀腺結(jié)節(jié)患者共80例，同時30例正常志愿者參與研究，列為對照組，對2組患者各病灶進行聲觸診組織成像（Virtual touch tissue Imaging，，VTI）及聲觸診組織定量（Virtual touch tissuequantification，VTQ）檢測，獲取相應(yīng)的VTI值及不同甲狀腺疾病的及周圍組織的VTQ值，以術(shù)后病理為標(biāo)準(zhǔn)探討AFRI技術(shù)在甲狀腺疾病診斷中的應(yīng)用價值，并分析患者滿意度差異。 3.結(jié)果：良性結(jié)節(jié)53人，惡性結(jié)節(jié)27人，VTI結(jié)果顯示，良性結(jié)節(jié)組顯示為高回聲占30.2%，說明腫塊質(zhì)地較軟，顯示為低回聲占22.6%，說明腫塊質(zhì)地較硬，顯示為等回聲占47.2%，說明腫塊質(zhì)地軟硬相當(dāng)。惡性結(jié)節(jié)組顯示為高回聲占11.1%，顯示為低回聲占51.9%，顯示為等回聲占37%，說明惡性組結(jié)節(jié)以質(zhì)地較硬者為主。VTQ結(jié)果顯示，良性甲狀腺結(jié)節(jié)組患者ARFI檢測中的剪切波平均值明顯低于惡性甲狀腺結(jié)節(jié)組，具有顯著性差異（P0.05），與正常組比較，明顯高于正常組，具有顯著性差異（P0.05）。甲狀腺腫患者的剪切波速度明顯高于甲狀腺腺瘤和甲狀腺增生，具有顯著性差異（P0.05），甲狀腺腺瘤與甲狀腺增生比較沒有顯著性差異（P0.05）。惡性甲狀腺結(jié)節(jié)中甲狀腺乳頭狀癌的剪切波平均速度高于濾泡癌和髓樣癌，具有顯著性差異（P0.05），濾泡癌的剪切波平均速度高于髓樣癌，具有顯著性差異（P0.05）。ARFI檢測滿意度（97.5%）明顯高于病理（66.3%）組，具有顯著性差異（P0.05）。 4.結(jié)論：ARFI技術(shù)為甲狀腺疾病的診斷提供了新的思路和理念，為傳統(tǒng)的超聲診斷方法做了補充，ARFI技術(shù)對甲狀腺良、惡性結(jié)節(jié)的鑒別診斷具有一定的參考作用。
[Abstract]:1. Objective: to investigate the value of acoustic pulse radiation force imaging (ARFI) in differential diagnosis of benign and malignant thyroid nodules. Methods: from September 2012 to December 2013, 80 patients with thyroid nodules and 30 normal volunteers were selected as control group. All lesions in two groups were examined with Virtual touch tissue Imaging technique (VTI) and Virtual touch tissue Quantification (VTQs). The corresponding VTI values and the VTQ values of different thyroid diseases and surrounding tissues were obtained. To evaluate the value of AFRI technique in the diagnosis of thyroid diseases according to postoperative pathology, and to analyze the difference of patients' satisfaction. Results: there were 53 benign nodules and 27 malignant nodules. The results of VTI showed that the benign nodules were hyperechoic (30.2percent), which showed that the texture of the masses was soft, the hypoechoic masses were 22.66.It indicated that the masses were hard in texture. Isoechoic appearance accounted for 47.2%, indicating that the texture of the mass was equal to that of hard and soft. The malignant nodules were shown as hyperechoic (11.1%), hypoechoic (51.9%) and isoechoic (37%). The average value of ARFI in benign thyroid nodule group was significantly lower than that in malignant thyroid nodule group (P 0.05), and was significantly higher than that in normal group (P 0.05). The shear wave velocity of goiter was significantly higher than that of thyroid adenoma and thyroid hyperplasia (P 0.05), but there was no significant difference between thyroid adenoma and thyroid hyperplasia (P 0.05). The average shear wave velocity of papillary thyroid carcinoma was higher than that of follicular carcinoma and medullary carcinoma in malignant thyroid nodule (P 0.05), and the average shear wave velocity of follicular carcinoma was higher than that of medullary carcinoma. There was significant difference in the satisfaction degree of P0.05U. ARFI (97.5%) than in the pathological group (66.3%), and the difference was significant (P 0.05). 4. Conclusion the new idea and idea for the diagnosis of thyroid diseases are provided by the technique of ": ARFI", which provides a reference for the differential diagnosis of benign and malignant nodules of thyroid gland by supplementing the traditional ultrasonic diagnosis method. [WT5HZ] [WT5 "HZ] [WT5" HZ] [WT5 "HZ]
【學(xué)位授予單位】：蘇州大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2014
【分類號】：R736.1;R445.1

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本文編號：2009191