超声弹性成像对诊断甲状腺肿块良恶性的应用分析.doc

超声弹性成像对诊断甲状腺肿块良恶性的应用分析.doc超声弹性成像对诊断甲状腺肿块良恶性的应用分析【摘要】目的:分析超声弹性成像对诊断甲状腺肿块良恶性的应用价值。方法:选取2014年1刀-2015年6刀在木院就诊的卬状腺肿块患者143例(193处病灶)作为观察对象,对所冇患者进行超声弹性成像及常规二维诊断。对所冇肿块进行弹性成像分级,比较分级与病理检查结果的关系。结果:病理结果共显示良性肿块116个,包括结节性甲状腺肿97个、腺瘤8个、慢性淋巴细胞甲状腺11个;恶性肿块27个,全为乳头状甲状腺癌。以超声弹性成像III级及以上为临界值,%的良性肿块在超声弹性成像评级中属于0〜II级,%的良性肿块属于III级和IV级;%的恶性肿块在超声弹性成像评级屮属于III级和IV级,%的恶性肿块属于0〜II级。结论:超声弹性成像可有效地检测甲状腺肿块,而肿块周边的囊实性病灶和弧形钙化应该是造成超声弹性成像评级错误的主要原因。【关键词】超声弹性成像;甲状腺;良恶性;价值[Abstract]Objective:Toexploretheapplicationvalueofultrasoundelasticityimaginginthediagnosisonthebonignandmalignantofthyroidnodules・Method:FromJanuary2014toJune2015,143patients(193masses)withthyroidnodulesinourhospitaiwereselectedasthestudyobjocts,andal1thepatientswerediagnosedbyultrasoundelasticityimagingandroutinctwo-tionalultrasonicdiagnosis・A11thenodulesweregradingbytheultrasoundelasticityimaging,pared・Result:Atotalof116benignmassesincluding97nodulargoiters,11chroniclymphocyticthyroids,and8adenomaswereconfirmedbythepathologicalresults,aswe11as27malignanttumor,whichwereal1papi11arythyroidcarcinoma・ThegradeIIIofultrasoundelasticityimagingandabovewasthecriticalvalue,%ofbenignmassesinultrasoundelasticityimagingratingbelongedto0toIIgradeandonly5・17%benignmassesbelongedtoIIItoIVgrade;%ofmalignanttumorsinultrasoundelasticityimagingratingbelongedtoIIItoIVgrade,only3・70%:U1trasoundelasticityimagingcaneffectively