中国全科医学Issue(33)：4024-4026,3.DOI:10.3969/j.issn.1007-9572.2014.33.033
声脉冲辐射力成像技术对甲状腺弥漫性疾病的诊断价值研究
The Value of Acoustic Radiation Force Impulse Elastography in Diagnosis of Diffuse Diseases of Thyroid Gland
摘要
Abstract
Objective To investigate the value of acoustic radiation force impulse(ARFI)elastography in diagnosis of diffuse diseases of thyroid gland. Methods 106 patients(56 cases of Graves' disease,50 cases of Hashimoto thyroiditis)who were diagnosed with diffuse diseases of thyroid gland in department of endocrinology and gland surgery of our hospital from August 2012 to August 2013,were selected as disease group. At the same time,128 healthy volunteers(each index of thyroid gland was normal,no history of thyroid - associated disease)were selected as control group. The stiffness of thyroid was detected for 6 times using a convex probe and a linear probe,respectively,the stiffness was expressed by shear wave velocity(SWV,m/ s). The SWV values of thyroid were compared between disease group and control group. Results The SWV values of thyroid among pa-tients in disease group were significantly higher than those among patients in control group(P < 0. 05). The SWV values indica-ted that there was no remarkable difference between convex probe method and linear probe method(P > 0. 05). The SWV values of thyroid among patients with Hashimoto thyroiditis were significantly higher than those among patients with Graves' disease(P <0. 05). SWV = 2. 1 m/ s was set as critical point,the area under the receiver operating characteristic(AUR)curves was 0. 81, the sensitivity,speciality,predictive positive rate,predictive negative rate and accuracy in diagnosis of diffuse diseases of thy-roid gland were 72. 6% ,81. 3% ,86. 5% ,64. 2% and 75. 9% ,respectively. Conclusion ARFI has important value in dif-ferential diagnosis of diffuse diseases of thyroid gland from normal thyroid.关键词
声脉冲辐射力成像技术/甲状腺弥漫性疾病/诊断Key words
Acoustic radiation force impulse elastography/Diffuse thyroid gland pathology/Diagnosis分类
医药卫生引用本文复制引用
剧红娟,田晖,张彤迪,张丽燕,王琪,曹艳梅,张悦娜..声脉冲辐射力成像技术对甲状腺弥漫性疾病的诊断价值研究[J].中国全科医学,2014,(33):4024-4026,3.基金项目
河北省科技计划项目 （）
