螺旋CT扫描对甲状腺癌临床诊断与治疗的应用价值  

Application Value of Spiral CT in Clinical Diagnosis and Treatment of Thyroid Carcinoma

作　　者：徐娜 李军[1] 孟庆涛[1] 叶晓旭 XU Na;LI Jun;MENG Qing-tao;YE Xiao-xu(First People's Hospital of Chuzhou,Chuzhou 239000,Anhui Province,China)

机构地区：[1]安徽省滁州市第一人民医院,安徽滁州239000

出　　处：《中国CT和MRI杂志》2021年第1期59-60,75,共3页Chinese Journal of CT and MRI

摘　　要：目的探讨甲状腺癌的CT影像学特征,并研究CT对病灶检出率及其对临床治疗的指导价值。方法以2017年1月至2019年2月间我院收治的60例甲状腺癌患者作为研究对象,对其临床资料进行回顾性分析,总结CT影像学特征,分析CT对病灶检出效果及其对临床治疗的影响。结果60例患者病理诊断结果为44例乳头状癌、滤泡状癌8例、髓样癌6例、未分化癌2例,甲状腺病灶70个;螺旋CT扫描诊断结果显示,60例患者共有64个病灶,病灶检出率为91.43%。原发病灶56例,其中27例钙化、38例密度不均匀、43例边缘模糊、44例形态不规则,出现18例周围组织浸润、20例淋巴结转移。螺旋CT扫描诊断的正确率为96.67%。结论采用螺旋CT扫描诊断甲状腺癌具有较高的准确度、灵敏度、特异度以及病灶检出率,其影像学特征能够较为准确地指示临床病理,对临床治疗有较高的指导价值。Objective To study the imaging features of a spiral CT scan in diagnosising thyroid cancer patients and exploring its guiding value for patients’detection rate with lesions and clinical treatment.Methods 60 patients with thyroid cancer admitted to our hospital from January 2017 to February 2019 were selected.The clinical diagnosis and treatment data were retrospectively analyzed.The results of a spiral CT scan were compared and analyzed.Characteristics of the study,the detection of lesions and the impact on clinical treatment.Results The pathological diagnosis of 60 patients included 43 cases of papillary carcinoma,8 cases of follicular carcinoma,4 cases of medullary carcinoma,2 cases of undifferentiated carcinoma,and 70 cases of thyroid lesions totally.The results of a spiral CT scan showed that 64 thyroid lesions in 60 patients.The detection rate was 91.43%.Among 56 cases of primary lesions,27 cases combined with calcification,38 cases with uneven density,43 cases with blurred edges,44 cases with irregular shape,18 cases with peripheral tissue infiltration,20 cases with lymph node metastasis.The correct rate of spiral CT scan diagnosis was 96.67%.Conclusion Spiral CT scan has high accuracy sensitivity,specificity and detection rate on diagnosing thyroid cancer.The imaging features can accurately indicate clinical pathology and have a high guiding value for clinical treatment.

关 键 词：螺旋CT 甲状腺癌 影像学特征 病灶检出率 临床治疗 

分 类 号：R445.3[医药卫生—影像医学与核医学] R736.1[医药卫生—诊断学]