甲状腺超声弹性成像结合颈部淋巴结彩超探查在.doc

甲状腺超声弹性成像结合颈部淋巴结彩超探查在诊断甲状腺良恶性病变中的应用
王娟王蔚蔚* 魏春红徐蓉
南京医科大学第二附属医院超声科,南京市,210011(王娟**********)
摘要:目的探讨甲状腺超声弹性成像结合颈部淋巴结彩超探查在诊断甲状腺良恶性病变中的应用价值。方法收集来我院进行甲状腺弹性成像检查并检出颈部淋巴结的95例患者资料,共119个结节病灶,所有病例经外科手术或超声引导下穿刺活检确诊,应用超声弹性成像技术结合颈部淋巴结探查判断甲状腺结节的良恶性,并与病理诊断进行对比研究,评价此方法的诊断价值。结果甲状腺超声弹性成像结合颈部淋巴结彩超探查诊断弹性3分并淋巴结肿大的甲状腺结节灵敏度80%,%,%,特异度75%,%,特异度100%,与单纯的甲状腺弹性评分相比较,对评分3分、5分结节灵敏度及特异度明显提高,对评分4分的结节灵敏度明显提高(P<)。结论将弹性超声技术与颈部淋巴结探查相结合,可明显提高甲状腺结节良恶性病变诊断的准确性,具有广阔的临床应用前景。
关键词超声弹性成像,颈部淋巴结,甲状腺
Ultrasonic bining with cervical lymph nodes probe in differential diagnosis of benign and malignant thyroid nodules
WANG Juan WANG Wei-wei* WEI Chun-hong XU Rong
Department of B-Ultrasound Room, the second Affiliated Hospital of Nanjing Medical University, Nanjing,Jiangsu 210011,China
Abstract: Objective To investigate the value of ultrasonic bining with cervical lymph nodes probe in differential diagnosis of benign and malignant thyroid nodules. Methods y-five patients with thyroid nodules (total119 nodules) were examined by ultrasonic elastography, meanwhile whose cervical lymph nodes were probed. All of the nodules were diagnosed by pathology of surgery or puncture. bine the two methods to identify benign and malignant thyroid nodules, then contrast with pathology to investigate the value of this method. Results The sensitivity, specificity of ultrasonic bining w