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目的探讨超声实时弹性成像技术在甲状腺结节鉴别诊断中的价值,为鉴别诊断提供理论依据。方法 148例甲状腺结节患者,共有结节192个,采用超声实时弹性成像技术对患者进行良、恶性结节的诊断分析,分析良、恶性甲状腺结节弹性成像评分、超声弹性应变率(SR)比值及超声弹性SR比值情况。结果良性结节中弹性成像评分以1、2、3分为主,分别为36.36%、27.27%和27.27%;恶性结节易4、5分为主,其比例为51.22%和17.07%;良、恶性结节之间比较差异具有统计学意义(P<0.05)。≥4分判断为恶性结节,<4分为良性结节;良性结节SR比值为1-3的比例为85.45%,恶性结节SR值>2时比例为95.12%,差异具有统计学意义(P<0.05)。结论超声实时弹性成像技术在甲状腺结节鉴别诊断中的价值明显,有利于患者治疗,临床价值高。
Objective To investigate the value of real-time ultrasound elastography in the differential diagnosis of thyroid nodules and provide a theoretical basis for differential diagnosis. Methods A total of 192 nodules of thyroid nodules were retrospectively analyzed in 148 patients with benign and malignant nodules by using real-time ultrasonic elastography. The elastography scores of benign and malignant thyroid nodules, the ultrasonic elastic strain rate (SR) Ratio and ultrasound elastic SR ratio situation. Results The benign nodules were mainly 1, 2, and 3 points, which were 36.36%, 27.27% and 27.27% respectively. The malignant nodules were mostly 4 and 5 points, with the proportions of 51.22% and 17.07% , The difference between malignant nodules was statistically significant (P <0.05). ≥4 points to determine the malignant nodules, <4 points for benign nodules; benign nodules SR ratio of 1-3 was 85.45%, malignant nodules SR value> 2, the proportion was 95.12%, the difference was statistically significant (P <0.05). Conclusion Ultrasound real-time elastography has obvious value in the differential diagnosis of thyroid nodules, which is beneficial to the treatment of patients with high clinical value.