CT在结节性甲状腺肿和甲状腺癌鉴别诊断中的应用  

Application of CT in the Differential Diagnosis of Nodular Goiter and Thyroid Cancer

作　　者：张春良 ZHANG Chunliang(Department of Radiology,the Second People's Hospital of Honghe Prefecture,Jianshui,Yunnan Province,654300 China)

机构地区：[1]云南省红河州第二人民医院放射科,云南建水654300

出　　处：《系统医学》2021年第7期136-138,共3页Systems Medicine

摘　　要：目的评价和对比CT在鉴别和诊断结节性甲状腺肿及甲状腺癌中的应用价值。方法将结节性甲状腺肿患者217例及甲状腺癌患者75例作为研究对象,所选对象均自2015年5月—2020年4月进行诊疗,予以全部患者CT检测,分析和对比两组CT征象及CT平扫与强化值。结果病灶数目甲状腺癌组单发56例(74.67%),多发19例(25.33%),结节性甲状腺肿组单发91例(41.94%),多发126例(58.06%);淋巴结肿大甲状腺癌组有31例(41.33%),无44例(58.67%),结节性甲状腺肿组有54例(24.88%),无163例(75.12%);钙化甲状腺癌组有40例(53.33%),无35例(46.67%)、结节性甲状腺肿组有29例(13.36%),无188例(86.64%);两组密度均匀性、包膜完整度、有无平扫晕环征等CT征差异有统计学意义(χ^(2)=12.973、21.102、4.029,P<0.05)。甲状腺癌组及结节性甲状腺肿组CT平扫值与强化值差异无统计学意义(P>0.05)。结论 CT在结节性甲状腺肿及甲状腺癌鉴别及诊断中的应用价值较高,两种病症CT征象存在较大的差异,具有一定的特征性。Objective To evaluate and compare the application value of CT in the differentiation and diagnosis of nodular goiter and thyroid cancer.Methods 217 patients with nodular goiter and 75 patients with thyroid cancer were selected as the research objects.The selected subjects were diagnosed and treated from May 2015 to April 2020.All patients were examined by CT,and the CT signs and CT plain scan value and enforcement value of the two groups were analyzed and compared.Results The number of lesions was 56 cases(74.67%)in the thyroid cancer group,19 cases(25.33%)in the thyroid cancer group,91 cases(41.94%)in the nodular goiter group and 126 cases(58.06%)in the nodular goiter group;31 cases in the thyroid cancer group with lymphadenopathy(41.33%),no 44 cases(58.67%),54 cases(24.88%)and no 163 cases(75.12%)in the nodular goiter group;40 cases(53.33%)and no 35 cases(46.67%)in the calcified thyroid cancer group.In the nodular goiter group,there were 29 cases(13.36%)and no 188 cases(86.64%);there were statistically significant differences in the density uniformity,the integrity of the capsule,and the presence or absence of the halo sign between the two groups(χ^(2)=12.973,21.102,4.029,P<0.05).There was no statistically significant difference in CT scan value and enhancement value in thyroid cancer group and nodular goiter group(P>0.05).Conclusion CT has a high application value in the identification and diagnosis of nodular goiter and thyroid cancer.The CT signs of the two diseases are quite different and have certain characteristics.

关 键 词：CT 结节性甲状腺肿 甲状腺癌 CT征象 CT平扫值 CT强化值 

分 类 号：R736.1[医药卫生—肿瘤] R730.4[医药卫生—临床医学]