128层螺旋CT对甲状腺结节的诊断价值  

The Diagnostic Value of 128-Slice Spiral CT on Thyroid Nodule

作　　者：刘源源[1] 邹文远[1] 许启仲[1] 李胜[1] 敖峰[1] 

机构地区：[1]湖北医药学院附属人民医院放射科,湖北十堰442000

出　　处：《现代生物医学进展》2013年第8期1531-1535,共5页Progress in Modern Biomedicine

基　　金：湖北省教育厅科学技术研究重点项目(D20112103)

摘　　要：目的:探讨128层螺旋CT对甲状腺结节的诊断价值,提高诊断水平。方法:收集48例经手术病理证实为甲状腺结节(结节性甲状腺肿24例,甲状腺腺瘤11例,甲状腺癌13例)患者的CT及临床资料,重点分析平扫及增强后病灶CT值、密度、包膜完整性、钙化有无及钙化形态,然后将有统计学意义的数值进行判别分析。结果:甲状腺结节的平扫、动静脉期CT值对良恶性鉴别无统计学意义(P>0.05),结节的轮廓、钙化、边缘强化,以及结节体积、密度、增大淋巴结和周围间隙改变等差异有统计学意义(P>0.05)。结论:掌握各种甲状腺结节性病变的CT特点对甲状腺结节的鉴别诊断具有一定的价值。Objective： To explore the diagnostic value of 128-slice spiral CT on thyroid nodule and improve the level of diagnosis. Methods： Collected CT and clinical data of 48 cases confirmed by pathology of thyroid nodules （24 eases of nodular goiter, 11 cases of thyroid adenoma, and 13 cases of thyroid cancer）, and the lesion＇s plain and enhanced CT value, density, envelope integrity, calcification or without calcification morphology were mainly analyzed, and then all the statistically significant values were gathered by diseriminant analysis. Results： The plain and arterial and venous phase CT values of thyroid nodules have no significant difference between benign and malignant identify （P〉 0.05）. Nodular contour, calcification, edge enhancement and nodule size, density, increscent lymph nodes and the surrounding space and others are statistically significant （P〉 0.05）. Conclusion： To master a variety of CT characteristics of thyroid nodules is critical for the differential diagnosis of thyroid nodules.

关 键 词：128层螺旋CT 甲状腺结节 X线计算机 诊断 

分 类 号：R445.3[医药卫生—影像医学与核医学]