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目的:探讨应用超声弹性成像技术在鉴别诊断甲状腺微小结节良恶性质中的应用。方法:选取2015年6月至2016年6月于我院超声科接受甲状腺检查的292例甲状腺微小结节患者作为观察对象。经病理活检证实良性250例,恶性42例,患者术前进行甲状腺常规二维超声及联合弹性超声成像检查,对比不同超声检查方案的甲状腺微小结节良恶性鉴别诊断能力。结果:联合弹性超声对良、恶性结节诊断正确率明显高于常规二维超声,并且与病理证实结果比较无显著差异,P>0.05,不具有统计学意义。结论:在常规超声检查基础上联合弹性成像可有效提升其对甲状腺微小结节良恶性质的鉴别诊断能力。
Objective: To explore the application of ultrasonic elastography in differential diagnosis of benign and malignant thyroid nodules. Methods: From June 2015 to June 2016, 292 patients with thyroid nodules undergoing thyroid examination in our department were selected as the observation subjects. The pathological biopsy proved benign in 250 cases and malignant in 42 cases. The preoperative thyroid conventional two-dimensional ultrasound and combined elastography were used to compare the benign and malignant differential diagnosis of thyroid nodules under different ultrasound examinations. Results: The diagnostic accuracy of joint EUS in benign and malignant nodules was significantly higher than that of conventional two - dimensional echocardiography, and there was no significant difference between the two groups (P> 0.05). There was no statistical significance. Conclusion: The combination of conventional elastography and elastography can effectively improve the differential diagnosis of benign and malignant thyroid nodules.