[1]周 波.剪切波弹性成像与实时组织弹性成像技术在甲状腺结节良恶性鉴别诊断中的应用价值[J].医学信息,2022,35(23):156-158.[doi:10.3969/j.issn.1006-1959.2022.23.034]
　ZHOU Bo.Application Value of Shear Wave Elastography and Real-time Tissue Elastography in Differential Diagnosis of Benign and Malignant Thyroid Nodules[J].Journal of Medical Information,2022,35(23):156-158.[doi:10.3969/j.issn.1006-1959.2022.23.034]
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剪切波弹性成像与实时组织弹性成像技术在甲状腺结节良恶性鉴别诊断中的应用价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
35卷
期数:
2022年23期
页码:
156-158
栏目:
诊疗技术
出版日期:
2022-12-01

文章信息/Info

Title:
Application Value of Shear Wave Elastography and Real-time Tissue Elastography in Differential Diagnosis of Benign and Malignant Thyroid Nodules
文章编号:
1006-1959（2022）23-0156-03
作者:
周 波
（高安市人民医院，江西 高安 330800）
Author(s):
ZHOU Bo
(Gao’an People’s Hospital,Gao’an 330800,Jiangxi,China)
关键词:
剪切波弹性成像; 实时组织弹性成像; 甲状腺结节; 杨氏模量
Keywords:
Shear wave elastography; Real-time tissue elastography; Thyroid nodule; Young’s modulus
分类号:
R445.1
DOI:
10.3969/j.issn.1006-1959.2022.23.034
文献标志码:
A
摘要:
目的 观察剪切波弹性成像与实时组织弹性成像技术在甲状腺结节良恶性鉴别诊断中的应用价值。方法 选取2018年10月-2019年10月在我院诊治的68例甲状腺结节患者为研究对象，均经手术病理证实，共77个结节，其中良性53个，恶性24个，均行剪切波弹性成像（SWE）、实时组织弹性成像技术（RTE）检查，比较SWE、RTE鉴别甲状腺结节良恶性的诊断效能、对不同直径甲状腺结节良恶性的诊断效能。结果 SWE检查甲状腺恶性结节的杨氏模量值高于良性结节（P＜0.05）；SWE鉴别诊断甲状腺结节良恶性的敏感度、特异度、准确性、阳性预测值、阴性预测值与RTE比较，差异无统计学意义（P＞0.05）；RTE诊断直径＜1 cm的甲状腺结节良恶性的敏感度、阳性预测值、阴性预测值均高于SWE（P＜0.05）；SWE与RTE诊断直径1~3 cm的甲状腺结节良恶性的敏感度、特异度、阳性预测值、阴性预测值比较，差异无统计学意义（P＞0.05）；SWE诊断直径＞3 cm的甲状腺结节良恶性的敏感度、阳性预测值、阴性预测值均高于RTE（P＜0.05）。结论 剪切波弹性成像和实时组织弹性成像技术对甲状腺结节良恶性的鉴别诊断均具有较高的价值，但实时组织弹性成像技术对直径＜1 cm的甲状腺结节良恶性鉴别的敏感度更高，而剪切波弹性成像技术对直径＞3 cm的甲状腺结节良恶性的鉴别效果更好。
Abstract:
Objective To observe the application value of shear wave elastography and real-time tissue elastography in differential diagnosis of benign and malignant thyroid nodules.Methods A total of 68 patients with thyroid nodules diagnosed and treated in our hospital from October 2018 to October 2019 were selected as subjects. All of them were confirmed by surgery and pathology. A total of 77 nodules, including 53 benign and 24 malignant, were examined by shear wave elastography (SWE) and real-time tissue elastography (RTE). The diagnostic efficacy of SWE and RTE in differentiating benign and malignant thyroid nodules and in differentiating benign and malignant thyroid nodules of different diameters was compared.Results The Young’s modulus of malignant nodules was higher than that of benign nodules by SWE (P<0.05). There was no significant difference in sensitivity, specificity, accuracy, positive predictive value and negative predictive value between SWE and RTE in differential diagnosis of benign and malignant thyroid nodules (P>0.05). The sensitivity, positive predictive value and negative predictive value of RTE in the diagnosis of benign and malignant thyroid nodules with diameter<1 cm were higher than those of SWE (P<0.05). There was no significant difference in the sensitivity, specificity, positive predictive value and negative predictive value between SWE and RTE in the diagnosis of benign and malignant thyroid nodules with diameter of 1-3 cm (P>0.05). The sensitivity, positive predictive value and negative predictive value of SWE in the diagnosis of benign and malignant thyroid nodules with diameter > 3 cm were higher than those of RTE (P<0.05).Conclusion Shear wave elastography and real-time tissue elastography have high value in the differential diagnosis of benign and malignant thyroid nodules, however, the real-time elastography is more sensitive in identifying benign and malignant tissues with diameter less than 1 cm, and the shear wave elastography is more effective in differentiating benign and malignant thyroid nodules with diameter >3 cm.

参考文献/References:

[1]苏玉娟.甲状腺结节性疾病的超声诊断意义及超声特点分析[J].中西医结合心血管病杂志,2016,4(10):150-151.[2]李泉水,徐细洁,陈胜华,等.超声成像结合 VTI 弹性成像在甲状腺良恶性结节鉴别诊断中的作用[J].中国超声医学杂志,2016,32(1):9-12.[3]忻晓洁,孙成相,王晓庆,等.超声引导下细针穿刺活检对≤10mm TI-RADS 4a类甲状腺结节的诊断价值[J].中华普通外科杂志,2016,31(8):673-676.[4]张昭,蒋海平.TI-RADS 联合剪切波弹性成像对甲状腺良恶性结节的鉴别诊断价值[J].临床超声医学杂志,2019,21(11):865-867.[5]陈正雷,梁长华,张煜华.超声剪切波弹性成像对甲状腺TI-RADS 4类结节良恶性的鉴别诊断价值[J].中国中西医结合影像学杂志,2019,17(5):500-502.[6]牟泳霖,曹军英,里子彧,等.实时剪切波弹性成像技术对甲状腺良恶性结节鉴别研究[J].临床军医杂志,2018,46(9):1030-1032.[7]胡敏霞,朱强.实时二维剪切波弹性成像技术在甲状腺疾病诊断中的应用[J].国际耳鼻咽喉头颈外科杂志,2019,43(2):112-116.[8]陆鑫,贾琬莹,王理蓉,等.剪切波弹性成像定量技术鉴别甲状腺结节性质及其临床意义[J].中华实用诊断与治疗杂志,2019,33(6):595-597.[9]谢颖坤,张巧莲,郑晓慧,等.实时剪切波弹性成像在飞行员甲状腺结节诊断中的应用[J].中华航空航天医学杂志,2018,29(1):39-43.[10]吕燕芬,孙月,李云燕,等.超微血流成像联合剪切波弹性成像对甲状腺结节的鉴别诊断价值[J].昆明医科大学学报,2019,40(6):80-84.[11]李小强,陈红娜,杨智,等.剪切波弹性成像对甲状腺结节良恶性的鉴别诊断价值[J].临床超声医学杂志,2016,18(4):233-236.[12]芦雪娇,张艳华,刘莹,等.TI-RADS分级联合剪切波弹性成像对甲状腺微小癌的诊断价值[J].临床耳鼻咽喉头颈外科杂志,2016,30(2):118-122.[13]陈爽冉,张周龙.实时剪切波弹性成像在甲状腺包块鉴别诊断中的价值探讨[J].中国实验诊断学,2019,23(1):28-29.[14]唐斌,张蓓,张琳堃,等.剪切波弹性成像鉴别甲状腺乳头状癌与结节型桥本氏甲状腺炎的诊断价值[J].贵州医药,2018,42(10):1259-1261.[15]王玲玲,王涛,李海霞,等.剪切波弹性成像鉴别诊断甲状腺良恶性病变[J].哈尔滨医科大学学报,2016,50(4):346-349.

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更新日期/Last Update: 1900-01-01