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摘要: 目的: 探讨甲状腺影像学报告及数据系统(TI-RADS)联合增强型血流显像技术(e-Flow)在甲状腺结节良恶性方面的诊断价值;并比较e-Flow与CDFI对甲状腺结节血流显像的诊断效能。方法: 选取甲状腺肿物切除术前的患者133例共179个结节(良性127个,恶性52个),对每个甲状腺结节依次行常规二维超声、CDFI及e-Flow显像检查,所有结节均按照TI-RADS进行分级,术后对照病理结果,比较单独TI-RADS、TI-RADS+CDFI、TI-RADS+e-Flow对甲状腺结节定性诊断的价值;比较e-Flow与CDFI对甲状腺结节血流显像的诊断效能。结果: ①TI-RADS+e-Flow对甲状腺结节定性诊断的敏感度(94.23%)高于单独应用TI-RADS的诊断标准(P<0.05);②TI-RADS+CDFI对甲状腺结节定性诊断的敏感度(80.77%)与单独应用TI-RADS诊断的敏感度差异无统计学意义;③TI-RADS+e-Flow与TI-RADS+CDFI对甲状腺结节定性诊断的敏感度差异无统计学意义;④单独应用e-Flow对甲状腺结节血流显像的敏感度(P<0.05)、特异度(P<0.05)及准确度(P<0.01)均高于单独应用CDFI。结论: TI-RADS联合e-Flow能够提高超声对甲状腺结节定性诊断的灵敏度;e-Flow技术对甲状腺结节血流显像的诊断效能优于CDFI技术。
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关键词:
- 甲状腺结节 /
- 甲状腺影像学报告及数据系统 /
- 增强型血流显像 /
- 彩色多普勒血流显像
Abstract: Objective: To investigate the value of combination of thyroid imaging reporting and data system (TI-RADS) and enhanced flow (e-Flow) in the qualitative diagnosis of thyroid nodules; and to compare the diagnostic efficiency between e-Flow and color doppler flow imaging (CDFI).Method: The study chose 133 patients with 179 nodules (127 benign, 52 malignant nodules) who had per-operative ultrasound examination of their thyroid using grey-scale ultrasound, CDFI, e-Flow, and their noudles were graded by TI-RADS. Then the ultrasound diagnostic value were compared with their surgical pathology results by TI-RADS; TI-RADS and CDFI; TI-RADS and e-Flow, and diagnostic efficiency between e-Flow and CDFI were compared.Result: The results revealed that combination of TI-RADS and e-Flow had a higher sensitivity (94.23%, P<0.05). There was no statistically significant difference between TI-RADS and the combination of TI-RADS and CDFI. Likewise, there was no significant difference between the combination of TI-RADS and e-Flow and the combination of TI-RADS and CDFI. The e-Flow showed a higher sensitivity, specificity and accuracy compare to the CDFI.Conclusion: Combining e-Flow and TI-RADS could improve the sensitivity in qualitative diagnosis of thyroid nodules. Also, e-Flow has a better diagnostic efficiency of thyroid nodules. -
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