Objective To investigate the diagnostic value of thyroid lesions with ultrasonic elastography examination. Methods Retrospective analysis of 110 cases of thyroid lesions(116 lesions)was performed. The cases were divided into color Doppler ultrasound group and ultrasound elastography group. The results of the two groups were then compared. Results There were 116 lesions confirmed by pathological diagnosis,including 66 cases(70 lesions)of benign pathological changes and 44 cases(46 lesions)of thyroid microcarcinoma. There were 81 lesions detected by color Doppler ultrasound while 112 lesions were detected by ultrasound elastography. The detection rate of ultrasound elastography was 96. 55%(112/116)which was greater than that of color Doppler ultrasound(78. 45%)(81/116),and the difference was statistically significant(P﹤0. 05). Conclusion The ultrasound elastography has higher detection rate of lesions,higher sensitivity and specificity of disease diagnosis for analysis of thyroid disease.%目的：探讨甲状腺微小病变应用超声弹性成像检查的诊断价值。方法回顾性分析甲状腺微小病变110例（病灶数116个），分为彩色多普勒超声组与超声弹性成像组，比较两组诊断结果。结果通过病理确诊病灶116个，其中66例（病灶数70个）良性病变，44例（病灶数46个）甲状腺微小癌。彩色多普勒超声检出病灶81个；超声弹性成像检出病灶112个。超声弹性成像检出率96.55%（112/116）比彩色多普勒超声检出率78.45%（81/116）高，比较差异具有统计学意义（P﹤0.05）。结论甲状腺微小病变患者应用超声弹性成像具有较高的病灶检出率、疾病诊断特异性和敏感性。
展开▼
