彩色多普勒超聲與彈性成像技術(shù)對甲狀腺癌頸部淋巴結(jié)轉(zhuǎn)移的臨床研究.pdf

1、分類號：R445.1密級：不保密UDC：610學(xué)校代碼：11065碩士學(xué)位論文彩色多普勒超聲與彈性成像技術(shù)對甲狀腺癌頸部淋巴結(jié)轉(zhuǎn)移的臨床研究李美指導(dǎo)教師房世保教授學(xué)科專業(yè)名稱影像醫(yī)學(xué)與核醫(yī)學(xué)（超聲醫(yī)學(xué)）論文答辯日期2016年5月28日AbstractObjective?Toexplethediagnosticvalueofthecoldopplerflowimaging(CDFI)Ultrasoundelastographyonpati

2、entswiththyroidcancersmetastasizingcervicallymphnodes.Materialsmethods:Sixtyfivepatientswithsuspectedthyroidcancerswereenrolledinthisstudy.Totallythe177cervicallymphnodeswerecheckedbyultrasoundcoldopplerflowimagingultras

3、oundelastographyinourhospitalfromMayin2013toAprilin2015.Finally169cervicallymphnodesfrom62patientswiththyroidcancerconfirmedbypathologyafteroperationaspirationbiopsywereevaluated.Diagnosticvalueofthethreemethodsofidentif

4、ingthenatureofthecervicallymphnodeswereevaluatedcomparedwitheachother.Results:1.Amongthe169cervicallymphnodes73wereconfirmedtobebenign96wereprovedtobemalignant.2.Thesensitivityofultrasoundcoldopplerflowimagingultrasounde

5、lastographywere77.1%83.3%92.7%respectively.Specificityofthethreemethodswere74.0%76.7%80.8%respectively.Accuracyofthethreewere75.5%80.4%87.6%respectively.Theaccuracyoftheultrasoundelastographywasobviouslyhigherthanthatofu

6、ltrasoundcoldopplerflowimaging.Thedifferencesweresigfigant.?P?0.001?.Conclusion:1.Ultrasoundelastographyhashigheraccuracytoidentifythemetastaticcervicallymphnodesinthyroidcancer.Theclinicalvaluewasquitehighitiswthyoffurt

7、herpromotion.2.Inpatientswiththyroidcancersmetastasiticcervicallymphnodesthediagnosticvalueofultrasoundelastographyishigherthanthatofthetwodimensionalultrasoundthecoldopplerflowimaging.3.ItiswisetocombineUltrasoundelasto