高频超声联合RTE诊断甲状腺微小乳头状癌的价值分析

承德医学院学报 ›› 2018, Vol. 35 ›› Issue (5): 377-380.

高频超声联合RTE诊断甲状腺微小乳头状癌的价值分析

万霞

大庆油田总医院B超室,黑龙江大庆 163001

收稿日期:2018-03-21 出版日期:2018-10-10 发布日期:2021-11-21

THE VALUE OF HIGH FREQUENCY ULTRASOUND COMBINED WITH RTE IN DIAGNOSIS OF PILLARY THYROID MICROCARCINOMA

WAN Xia

Department of Ultrasound, Daqing Oil Field General Hospital, Heilongjiang Daqing 163001, China

Received:2018-03-21 Online:2018-10-10 Published:2021-11-21

摘要/Abstract

摘要： 目的: 探讨高频超声联合实时组织弹性成像技术（RTE）诊断甲状腺微小乳头状癌(PTMC)的价值。方法: 以病理结果为金标准,比较高频超声、RTE及高频超声联合RTE诊断PTMC的效能。结果: 高频超声联合RTE诊断PTMC的敏感度、特异度、准确率、阴性预测值及阳性预测值（91.07%、91.55%、91.34%、92.86%、89.47%）均明显高于高频超声（73.21%、80.28%、77.16%、79.17%、74.54%）和RTE（78.57%、81.69%、80.31%、82.86%、77.19%）（P<0.05）。结论: 高频超声联合RTE能明显提高对PTMC的诊断效能。

关键词: 高频超声, 实时组织弹性成像技术, 甲状腺微小乳头状癌

Abstract: Objective: To investigate the value of high frequency ultrasound combined with real-time tissue elasticimaging (RTE) in diagnosis of pillary thyroid microcarcinoma (PTMC). Methods: The diagnostic efficiency of high frequency ultrasound, RTE, high frequency ultrasound combined RTE for PTMC were compared. Results: The sensitivity, specificity, accuracy, negative predictive value and positive predictive value of high frequency ultrasound combined RTE were respectively 91.07%, 91.55%, 91.34%, 92.86% and 89.47%, which were all obviously higher than high frequency ultrasound (73.21%, 80.28%, 77.16%, 79.17%, 74.54%) and RTE (78.57%, 81.69%, 80.31%, 82.86%, 77.19%) (P˂0.05). Conclusions: High frequency ultrasound combined RTE can significantly improve the diagnostic efficiency of PTMC.

Key words: High frequency ultrasound, Real-time tissue elasticimaging, Pillary thyroid microcarcinoma

中图分类号:

R736.1

万霞. 高频超声联合RTE诊断甲状腺微小乳头状癌的价值分析[J]. 承德医学院学报, 2018, 35(5): 377-380.

WAN Xia. THE VALUE OF HIGH FREQUENCY ULTRASOUND COMBINED WITH RTE IN DIAGNOSIS OF PILLARY THYROID MICROCARCINOMA[J]. Journal of Chengde Medical University, 2018, 35(5): 377-380.

参考文献

[1] 黄仲杰. 结节性甲状腺肿并存甲状腺癌的临床研究进展[J].承德医学院学报,2017,34(2):148-151.
[2] 许军,丁旭贝,肖光雄.甲状腺微小乳头状癌组织中CK19、TPO、Galectin-3和Survivin蛋白表达水平及诊断价值[J].解放军医药杂志,2017,29(6):48-50.
[3] 刘静思,廖泉.甲状腺微小乳头状癌诊治进展[J].中国实用外科杂志,2017,37(5):588-591.
[4] 陈贵巧,于晶,田琳,等.甲状腺微小乳头状癌多模态超声诊断研究进展[J].临床军医杂志,2018,46(1):31-34.
[5] 武元元,王军,管玲,等.TI-RADS分级联合超声弹性成像诊断甲状腺微小乳头状癌价值研究[J].中国实用外科杂志,2016,36(5):552-555,558.
[6] 迪利努尔·阿布力米提,李玲玲,高晓丽.超声弹性成像评分法与常规灰阶超声联合诊断结节性甲状腺肿背景下微小乳头状癌的效能研究[J].新疆医科大学学报,2015,38(8):1023-1026.
[7] 王云梅,李逢生,刘曙光,等.超声造影与弹性成像对甲状腺微小乳头状癌的诊断价值[J].陕西医学杂志,2015,44(5):576-579.
[8] 杨蕴慧. 超声联合弹性成像诊断甲状腺微小乳头状癌的临床价值研究[J].现代仪器与医疗,2017,23(4):10-12
[9] Huang X, Guo LH, Xu HX, et al.Acoustic radiation force impulse induced strain elastography and point shear wave elastography for evaluation of thyroid nodules[J]. Int J Clin Exp Med, 2015, 8(7): 10956-10963.
[10] 霍晓明,张红,冯海洋,等.弹性成像与超声造影联合应用诊断甲状腺微小乳头状癌的价值[J].现代肿瘤医学,2016,24(5):2462-2465.
[11] 王蓓. 常规超声量化评分法联合弹性成像对甲状腺结节良恶性鉴别诊断价值探讨[D].郑州:郑州大学,2016.
[12] 徐琦,朱张茜,夏建克,等.超声造影及超声弹性成像对于不同大小甲状腺乳头状癌的诊断价值[J].浙江临床医学,2016,18(9):1583-1585.
[13] 徐菲,何峥,高志玲,等.超声造影联合弹性成像在甲状腺微小乳头状癌诊断中的应用研究[J].癌症进展,2017,15(8):903-905.