超声TI-RADS与弹性成像在老年患者甲状腺良恶性结节鉴别中的价值

张粉红

（陕西省铜川市耀州区人民医院，陕西 铜川，727100）

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摘要：

目的 探究超声TI-RADS与弹性成像在老年患者甲状腺良恶性结节鉴别中的应用价值。方法 将2015年6月至2016年6月我院确诊的50例（74个结节）老年甲状腺结节患者作为研究对象，分别采用超声TI-RADS与弹性成像方式鉴别结节的良恶性。比较两组诊断方式的灵敏度、特异度、诊断符合率。结果 超声弹性成像诊断甲状腺良恶性结节灵敏度、特异度、诊断符合率分别为83.78%、94.59%、89.19%，甲状腺TI-RADS分级诊断甲状腺良恶性结节的灵敏度、特异度、诊断符合率分别 89.47%、83.33%、86.49%，两种诊断方法比较，差异无统计学意义（P>0.05）。结论 超声TI-RADS与弹性成像在甲状腺结节良恶性诊断中均具有较高准确性，为提高甲状腺良恶性结节的临床诊断敏感度、准确度，临床应联合应用两种诊断方法。

关键词：TI-RADS；超声弹性成像；老年患者；甲状腺良恶性结节

中图分类号：R445.1文献标志码：A文章编号：2096-1413(2017)01-0127-02

Value of ultrasonic TI-RADS and elastography in differentiating benign and malignant thyroid nodules in senile patients
ZHANG Fen-hong
(People s Hospital of Yaozhou District in Tongchuan, Tongchuan 727100, China)

ABSTRACT: Objective To investigate the application value of ultrasonic TI -RADS and elastography in differentiating benign and malignant thyroid nodules in senile patients. Methods Fifty senile patients with thyroid nodules (74 nodules) diagnosed in our hospital from June 2015 and June 2016 were selected as the study objects. Ultrasonic TI -RADS and elastography were respectively used to differentiate benign and malignant thyroid nodules. The sensitivity, specificity and diagnostic accordance rate of the two diagnostic methods were compared. Results The sensitivity, specificity and diagnostic accordance rate of ultrasonic elastography in differentiating benign and malignant thyroid nodules were 83.78%, 94.59% and 89.19% respectively. The sensitivity, specificity and diagnostic accordance rate of TI-RADS classification in differentiating benign and malignant thyroid nodules were 89.47%, 83.33% and 86.49% respectively. These two diagnostic methods had no statistical significance (P >0.05). Conclusion Both ultrasonic TI -RADS and elastography have high accuracy in differentiating benign and malignant thyroid nodules. To improve the sensitivity and accuracy in diagnosing benign and malignant thyroid nodules, these two methods shall be combined for clinical diagnosis.
KEYWORDS: TI-RADS; ultrasonic elastography; senile patients; benign and malignant thyroid nodules

参考文献：
[1] 位波.超声弹性成像与常规超声在甲状腺良、恶性结节鉴别中的应用价值[J].中国当代医药,2016,23(3):58-60.
[2] 余静,李凤英.良恶甲状腺结节的鉴别诊断思路[J].医学综述,2014,20(13):2406-2408.
[3] 张忱,胡水平,银于晶,等.高频超声、弹性成像及超声造影对甲状腺良恶性结节的诊断[J].中国医药导报,2014,11(29):76-79.
[4] 范宇,范光明,陈霞.常规超声结合弹性成像在鉴别诊断甲状腺良恶性结节中的应用价值[J].贵州医药,2015,39(11):1040-1041.
[5] 刘利平,张立,刘静静,等.TI-RADS分级结合弹性成像对甲状腺结节鉴别诊断及不同医师一致性研究[J].中国超声医学杂志,2015,31(6):490-493.
[6] 薛杰,曹小丽,姜宏,等.甲状腺影像报告与数据系统联合超声弹性成像对甲状腺良恶性结节的诊断价值[J].中国医学影像学杂志,2015,23(5):351-355.
[7] 李潜,何景阳,王雁.超声TI-RADS 与弹性成像诊断甲状腺良恶性结节的对照分析[J].郑州大学学报:医学版,2015,50(4):574-577.