二维超声联合超声弹性成像在浅表淋巴结疾病诊断中的应用效果分析
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摘要
目的探讨对浅表淋巴结疾病患者实施二维超声+超声弹性成像诊断后获得的临床效果。方法方便选择该院2016年6月—2018年7月收治的72例浅表淋巴结疾病患者作为实验对象;针对所有患者于临床分别实施二维超声诊断,设为A1组;超声弹性成像诊断,设为A2组以及二维超声+超声弹性诊断,设为A3组;最终就A1～A3组检测结果进行对比。结果 A1诊断45例,占比62.50%;A2诊断准确49例,占比68.06%;A3诊断准确62例,占比86.11%,对比检验(χ~2=14.009 0,P=0.000 9),同A1组以及A2组浅表淋巴结疾病患者检测准确度对比,A3组获得明显提升(P<0.05)。结论检验人员对于浅表淋巴结疾病患者在进行诊断期间,合理选择二维超声+超声弹性成像方法进行疾病诊断,同分别单纯选择二维超声以及超声弹性成像方法进行疾病诊断比较,可以显著提高检测准确度,从而为浅表淋巴结疾病的早期确诊提供依据,为后续治疗方案的顺利研究与应用奠定基础,最终显著提高浅表淋巴结疾病患者的诊治效果以及预后能力。
Objective To explore the clinical effects of two-dimensional ultrasound + ultrasound elastography in patients with superficial lymph node diseases. Methods 72 patients with superficial lymph node disease admitted by our hospital from June 2016 to July 2018 were selected as experimental subjects. Two-dimensional ultrasound diagnosis was performed for all patients, and was set as group A1. The ultrasound elastography diagnosis was set as A2 group and two-dimensional ultrasound + ultrasonic elastography diagnosis was set as A3 group. Finally, the test results of group A1 ～ A3 were compared. Results A1 in the diagnosis of 45 cases, accounted for 62.50%; A2 diagnosis accurate in 49 cases, accounted for68.06%; A3 accurate diagnosis in 62 cases, accounting for more than 86.11%, the contrast test(χ~2=14.009 0, P=0.000 9).Compared with the detection accuracy of patients with superficial lymph node disease in group A1 and group A2, the A3 group was significantly improved(P<0.05). Conclusion Inspection personnel for superficial lymph node disease patients during the diagnosis, rational selection of two-dimensional ultrasound + ultrasound elasticity imaging method for disease diagnosis, with the simple choice of two-dimensional ultrasound and ultrasound elasticity imaging methods are compared, and disease diagnosis can significantly improve the detection accuracy, so as to provide the basis for early diagnosis of superficial lymph node diseases, follow-up of treatment research and application of groundwork, eventually improve the diagnosis and treatment of patients with superficial lymph node disease effect and prognosis.
Objective To explore the clinical effects of two-dimensional ultrasound + ultrasound elastography in patients with superficial lymph node diseases. Methods 72 patients with superficial lymph node disease admitted by our hospital from June 2016 to July 2018 were selected as experimental subjects. Two-dimensional ultrasound diagnosis was performed for all patients, and was set as group A1. The ultrasound elastography diagnosis was set as A2 group and two-dimensional ultrasound + ultrasonic elastography diagnosis was set as A3 group. Finally, the test results of group A1 ～ A3 were compared. Results A1 in the diagnosis of 45 cases, accounted for 62.50%; A2 diagnosis accurate in 49 cases, accounted for68.06%; A3 accurate diagnosis in 62 cases, accounting for more than 86.11%, the contrast test(χ~2=14.009 0, P=0.000 9).Compared with the detection accuracy of patients with superficial lymph node disease in group A1 and group A2, the A3 group was significantly improved(P<0.05). Conclusion Inspection personnel for superficial lymph node disease patients during the diagnosis, rational selection of two-dimensional ultrasound + ultrasound elasticity imaging method for disease diagnosis, with the simple choice of two-dimensional ultrasound and ultrasound elasticity imaging methods are compared, and disease diagnosis can significantly improve the detection accuracy, so as to provide the basis for early diagnosis of superficial lymph node diseases, follow-up of treatment research and application of groundwork, eventually improve the diagnosis and treatment of patients with superficial lymph node disease effect and prognosis.
引文
[1]邱新声.超声在颈部、腋窝下及腹股沟区淋巴结结核的诊断价值[J].心电图杂志:电子版,2018,7(2):183-184.
[2]闫留志,赵爱光.高频超声检查在浅表淋巴结良恶性鉴别诊断中的应用价值[J].河南医学研究,2018,9(10):223-226.
[3]肖晓明.常规超声和超声造影在浅表淋巴结良恶性鉴别诊断中的价值[J].影像研究与医学应用,2018,2(1):91-92.
[4]王孝力.高频超声检查在浅表淋巴结良恶性鉴别诊断中的应用价值分析[J].现代医用影像学,2017,26(1):37-38,41.
[5] Wang L, Wang D, Zhou J, et al. Correlation study of TIRADS combined with elasticity score and ultrasound elastograhy semi-quantitative analysis in diagnosing benign or malignant thyroid lesions[J].Anhui Medical&Pharmaceutical Journal, 2017,13(35):35-38.
[6]周文辉.常规超声和弹性成像对浅表肿大淋巴结良恶性诊断效果分析[J].中国医疗器械信息,2016,22(19):51-53.
[7]柯珂,张群霞,王志刚.常规超声及弹性成像在浅表淋巴结定性诊断中的研究进展[J].中国介入影像与治疗学,2016,13(6):370-373.
[8] Kim SY, Park JS, Koo HR. Combined Use of Ultrasound Elastography and B-Mode Sonography for Differentiation of Benign and Malignant Circumscribed Breast Masses[J].Journal of Ultrasound in Medicine Official Journal of the American Institute of Ultrasound in Medicine, 2015, 34(11):1951.
[9]张小红,王金萍,王如瑛.超声造影伽马拟合时间强度曲线对颈部浅表淋巴结病变的诊断价值[J].中国药物与临床,2015,15(2):171-174.
[10]丁伟英,姚兰辉.弹性成像技术在浅表淋巴结良、恶性鉴别诊断中的临床应用[J].医学综述,2014,20(14):2607-2609,2689.
[11]杨莉芬,陈秋兰,裘品丹.高频彩色多普勒对良恶性浅表淋巴结的诊断价值[J].当代医学,2014,20(17):63-64.
[12] Song P, Mellema DC, Sheedy SP, et al. Performance of 2‐Dimensional Ultrasound Shear Wave Elastography in Liver Fibrosis Detection Using Magnetic Resonance Elastography as the Reference Standard[J].Journal of Ultrasound in Medicine Official Journal of the American Institute of Ultrasound in Medicine, 2016, 35(2):401.
[13]宋宏萍,周晓东.超声弹性成像技术在浅表淋巴结良恶性鉴别诊断中的应用进展[J].中华医学超声杂志:电子版,2012,9(8):671-674.
[2]闫留志,赵爱光.高频超声检查在浅表淋巴结良恶性鉴别诊断中的应用价值[J].河南医学研究,2018,9(10):223-226.
[3]肖晓明.常规超声和超声造影在浅表淋巴结良恶性鉴别诊断中的价值[J].影像研究与医学应用,2018,2(1):91-92.
[4]王孝力.高频超声检查在浅表淋巴结良恶性鉴别诊断中的应用价值分析[J].现代医用影像学,2017,26(1):37-38,41.
[5] Wang L, Wang D, Zhou J, et al. Correlation study of TIRADS combined with elasticity score and ultrasound elastograhy semi-quantitative analysis in diagnosing benign or malignant thyroid lesions[J].Anhui Medical&Pharmaceutical Journal, 2017,13(35):35-38.
[6]周文辉.常规超声和弹性成像对浅表肿大淋巴结良恶性诊断效果分析[J].中国医疗器械信息,2016,22(19):51-53.
[7]柯珂,张群霞,王志刚.常规超声及弹性成像在浅表淋巴结定性诊断中的研究进展[J].中国介入影像与治疗学,2016,13(6):370-373.
[8] Kim SY, Park JS, Koo HR. Combined Use of Ultrasound Elastography and B-Mode Sonography for Differentiation of Benign and Malignant Circumscribed Breast Masses[J].Journal of Ultrasound in Medicine Official Journal of the American Institute of Ultrasound in Medicine, 2015, 34(11):1951.
[9]张小红,王金萍,王如瑛.超声造影伽马拟合时间强度曲线对颈部浅表淋巴结病变的诊断价值[J].中国药物与临床,2015,15(2):171-174.
[10]丁伟英,姚兰辉.弹性成像技术在浅表淋巴结良、恶性鉴别诊断中的临床应用[J].医学综述,2014,20(14):2607-2609,2689.
[11]杨莉芬,陈秋兰,裘品丹.高频彩色多普勒对良恶性浅表淋巴结的诊断价值[J].当代医学,2014,20(17):63-64.
[12] Song P, Mellema DC, Sheedy SP, et al. Performance of 2‐Dimensional Ultrasound Shear Wave Elastography in Liver Fibrosis Detection Using Magnetic Resonance Elastography as the Reference Standard[J].Journal of Ultrasound in Medicine Official Journal of the American Institute of Ultrasound in Medicine, 2016, 35(2):401.
[13]宋宏萍,周晓东.超声弹性成像技术在浅表淋巴结良恶性鉴别诊断中的应用进展[J].中华医学超声杂志:电子版,2012,9(8):671-674.