• 四川大學(xué)華西醫(yī)院超聲科（成都，610041）;

【摘要】　目的　 探討彈性成像在甲狀腺微小癌診斷中的應(yīng)用價(jià)值。　方法　 回顧性分析從2007年12月-2008年4月間經(jīng)病理證實(shí)的10例甲狀腺微小癌患者共11個(gè)病灶的超聲表現(xiàn)。　結(jié)果　 彩色多普勒超聲診斷甲狀腺微小癌8例8個(gè)病灶，利用彈性成像技術(shù)診斷10例10灶。傳統(tǒng)彩色多普勒超聲對甲狀腺微小癌的診斷率為72.7%；利用彈性成像技術(shù)對甲狀腺微小癌的診斷率為90.9%。　結(jié)論　 彈性成像技術(shù)對于甲狀腺微小癌是對彩色多普勒超聲檢查的有益的補(bǔ)充，能夠顯著提高超聲對甲狀腺微小癌診斷的準(zhǔn)確性。
【Abstract】　Objective　 To evaluate the application of US-elastography in diagnosis of thyroid microcacinoma.　Methods　 The images of color ultrasound and ultrasound elastography from 11 lesions of 10 patients with thyroid micro-carcinoma diagnosed via histopathology between December 2007 and April 2008 were retrospectively analyzed.　Results　 Eight patients with eight lesions were found by colour ultrasound and 10 patients with 10 lesions were observed by ultrasound elastography. The diagnosis accurate rate of ultrasonography was about 72.7% and of ultrasound elastography was about 90.0%.　Conclusion　 US-Elastography is a beneficial addition in diagnosis of thyroid microcacinoma by colour ultrasound. It can remarkably develop the accurate rate of the diagnosis of the disease.

引用本文： 蔡迪明,李永忠,彭玉蘭,張剛健. 超聲組織彈性成像技術(shù)在甲狀腺微小癌診斷中的應(yīng)用價(jià)值. 華西醫(yī)學(xué), 2011, 26(1): 60-62. doi: 復(fù)制

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  1. 1. 　Ophir J, Cespedes EI, Ponnekanti H, et al. Elastography: a quantitative method for imaging the elasticity of biological tissues[J]. Ultrason Imaging, 1991, 13 (2): 111- 134.
  2. 2. 　Ophir J, Alam SK, Garra B, et al. Elastography: ultrasonic estimation and imaging of the elastic properties of tissues[J]. Proce Inst Mech Eng H, 1999, 213 (3): 203-233.
  3. 3. 　Ophir J, Garra B, Kallel F, et al. Elastographic imaging [J]. Ultrasound Med Biol, 2000, 26 (Suppl 1): 23-29.
  4. 4. 　Cooper DS, Doherty GM, Haugen BR, et al. Management guidelines for patients with thyroid nodules and differentiated thyroid cancer[J]. Thyroid, 2006, 16(2): 109-142.
  5. 5. 　Asteria C, Giovanardi A, Pizzocaro A, et al. US-elastography in the differential diagnosis of benign and malignant thyroid nodules[J]. Thyroid, 2008, 18(5): 523-531.
  6. 6. 　Andrej L, Tatsuya H, Ryo A, et al. Thyroid gland tumor diagnosis at US elastography[J]. Radiology, 2005, 237(1): 202-211.
  7. 7. 　李鳳華, 夏建國, 李紅麗, 等. 高性能超聲對甲狀腺微小癌的診斷價(jià)值[J]. 中國醫(yī)學(xué)影像技術(shù), 2004, 20(21): 5-7.
  8. 8. 　杉野公則等, 李德祥譯. 甲狀腺微小癌[J]. 日本醫(yī)學(xué)介紹, 1996, 17(11): 505-506.
  9. 9. 　牛麗娟, 郝玉芝, 周純武. 超聲診斷甲狀腺占位性病變的價(jià)值[J]. 中華耳鼻咽喉頭頸外科雜志, 2006, 41 (6): 415-418.