B超与ECT检查在甲状腺结节诊断中的临床价值  

Clinical Value of Ultrasonography and Emission Computed Tomography in Diagnosis of the Thyroid Nodules

作　　者：乔晓玲 张新源 

机构地区：[1]盐城市第一人民医院超声科,江苏盐城224006

出　　处：《医学综述》2012年第23期4086-4087,共2页Medical Recapitulate

摘　　要：目的研究B超与发射单光子计算机断层扫描(ECT)在甲状腺结节诊断中的作用。方法对255例甲状腺结节患者术前行B超和ECT显像检查,并于术后与行常规细胞病理诊断相对照,比较3种方法对甲状腺结节诊断的临床价值。结果术后病理诊断甲状腺癌合计23例(9.01%),甲状腺腺瘤合计181例(70.98%),甲状腺囊肿合计15例(5.88%),结节性甲状腺肿合计31例(12.16%),甲状腺炎合计5例(1.96%)。在术前经B超检查诊断为甲状腺癌有13例,诊断正确率为56.52%;在术前经ECT检查诊断为甲状腺癌有16例,诊断正确率为69.57%。结论 ECT和B超检查在进行甲状腺结节诊断时有着各自的优缺点,需要结合其他有效检查方法,并且结合临床病史及体征进行综合分析。Objective To investigate the clinical value of ultrasonography and emission computed tomography（ECT）in diagnosing the thyroid nodules.Methods 255 patients with thyroid nodules were checked with ultrasonography and ECT imaging before operation.The ultrasonography and ECT imaging results were compared with pathological examination after surgery.Results 23 cases（9.01%）were pathologically diagnosed thyroid cancer,181 cases（70.98%）were pathologically diagnosed thyroid adenoma,15 cases（5.88%）were pathologically diagnosed thyroid cyst,31 cases（12.16%）were pathologically diagnosed nodular goiter,5 cases（1.96%）were pathologically diagnosed thyroiditis.13 cases were diagnosed thyroid cancer by the preoperative ultrasonography examination,the diagnostic accuracy was 56.52%;16 cases were diagnosis of thyroid cancer by the preoperative ECT examination,the diagnostic accuracy was 69.57%.Conclusion Our results show that ultrasonography and ECT have different merits and faults on the thyroid nodules diagnosis,where comprehensive analysis combining other effective checking methods,clinical disease history and body signs is needed.

关 键 词：B超 发射单光子计算机断层扫描 甲状腺结节 

分 类 号：R581.3[医药卫生—内分泌]