摘要
目的:研究弹性成像在甲状腺FNA中的的应用价值。方法:选取厦门长庚医院2018年1月-2020年3月200例甲状腺疾病患者,采取抽签分组方法分为观察组及对照组,各100例。分别采取两种不同的方式,在甲状腺细针抽吸细胞学检查(FNA)中应用弹性成像与常规超声诊断,对比两组各项指标。结果:将病理诊断作为金标准,两组均诊断甲状腺结节良性60例、恶性40例;弹性超声诊断甲状腺结节良性55例、恶性45例;常规超声诊断甲状腺结节良性50例、恶性50例。弹性超声诊断敏感度为100%,特异度为91.67%,误诊率为8.33%,漏诊率为0;常规超声诊断敏感度为87.50%,特异度为75.00%,误诊率为25.00%,漏诊率为12.50%。恶性结节VTIQ值(3.85±0.87)m/s,大于良性结节的(2.01±0.32)m/s,差异有统计学意义(P<0.05)。结论:通过在甲状腺FNA前实施弹性成像,可明显提高阳性诊断,减少不必要的有创操作,具有较高的临床应用价值。
Objective:To study the application value of elastography in thyroid FNA.Method:The subjects of this study were patients with thyroid disease admitted from January 2018 to March 2020 in Xiamen Changgeng Hospital.They were divided into the observation group and the control group by lottery grouping method,100 cases in each group.Two different methods were used to apply elastography and conventional ultrasound diagnosis in thyroid thyroid fine needle aspiration cytology (FNA) to analyze and compare the indicators of the two groups.Result:Using pathological diagnosis as the gold standard,60 cases of benign and 40 malignant thyroid nodules were diagnosed in the both groups;55 cases of benign and 45 malignant thyroid nodules were diagnosed by elastic ultrasound;50 cases of benign and 50 malignant thyroid nodules were diagnosed by conventional ultrasound.The diagnostic sensitivity of elastic ultrasound was 100%,the specificity was 91.67%,the misdiagnosis rate was 8.33%,and the missed diagnosis rate was 0;the diagnostic sensitivity of conventional ultrasound was 87.50%,the specificity was 75.00%,the misdiagnosis rate was 25.00%,and the missed diagnosis rate was 12.50%.The VTIQ value of malignant nodules was (3.85±0.87) m/s,which was greater than (2.01±0.32) m/s of benign nodules,and the difference was statistically significant (P<0.05).Conclusion:Performing elastography before thyroid FNA can significantly improve the positive diagnosis,reduce unnecessary invasive operations,and have high clinical application value.
作者
柳鹏翔
吴丹枫
陈刘飞
LIU Pengxiang;WU Danfeng;CHEN Liufei(Xiamen Changgeng Hospital,Xiamen 361000,China)
出处
《中外医学研究》
2021年第4期71-73,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
