甲状腺平面显像评价冷、温结节中恶性病变的几率  

The malignant rate for thyroid cold and warm nodule with the planar imaging

作　　者：司宏伟[1] 徐慧琴[1] 岳峤[1] 何延辉[1] 

机构地区：[1]安徽医科大学第一附属医院核医学科,230022

出　　处：《上海医学影像》2009年第4期300-301,共2页Shanghai Medical Imaging

基　　金：安徽省自然科学基金资助项目(编号:090413132)

摘　　要：目的探讨甲状腺平面显像冷、温结节的良恶性几率。方法收集18例可触及甲状腺结节患者的甲状腺平面显像、B超结节数量、位置、颈淋巴结转移及每个病灶的病理结果,统计分析良恶性几率。结果17名患者共有结节28个,单发结节7个,双结节9例,三结节1例。20个冷结节和8个温结节前后径、左右径间没有显著的统计学意义。冷结节恶变几率为20.0%,温结节恶变几率12.5%。1/7单发结节为甲状腺癌,3/10多发结节为甲状腺癌。结论甲状腺平面显像有助于区分非甲状腺来源组织。结节摄锝功能与其大小无关,甲状腺显像冷结节比温结节有较高的恶变几率,但仍有较大良性可能,应联合其他检查结果综合判定。Objective To analysis the thyroid malignant lesion rate based on cold or warm nodule.Methods Eighteen patients with touchable thyroid nodule undertook thyroid planar imaging.Recording the number and position of cervical lymph node on ultrasound imaging and pathological results for further statistical analysis.Results Seventeen patients had 28 nodules in thyroid.Among them,7 patients had single node,9 had 2 nodes,1 had 3 nodes.Antero-posterior and left-right diameter of 20 cold nodes and 8 warm nodules had no significant statistical difference.Twenty percent of cold nodes were malignant foci,and 12.5% for warm nodule;1/7 sigle nodes were thyroid cancer,and 3/10 for multi-nodes.Conclusion Thyroid planar imaging is helpful for distinguishing thyroid tissue.Nodule uptaking technetium has no relationship on their diameter.Malignant change rate of cold node is higher than that of warm node,but the cold node is still more likely to be benign.So other examine results should be combined.

关 键 词：甲状腺平面显像 冷结节 温结节 

分 类 号：R581.104[医药卫生—内分泌] R736.1[医药卫生—内科学]