单光子发射计算机断层成像及计算机扫描在甲状舌管囊肿诊断中的应用价值  

The Application Value of Single Photon Emission Computed Tomography and Computed Tomography(SPECT/CT)in the Diagnosis of Thyroglossal Duct Cyst

作　　者：宋星仪 何震宇 徐丽伟 SONG Xingyi;HE Zhenyu;XU Liwei(Department of Medical Imaging,the First Affiliated Hospital of Henan University,Kaifeng 475000,China;Department of Gynecology,the First Affiliated Hospital of Henan University,Kaifeng 475000,China)

机构地区：[1]河南大学第一附属医院医学影像科,河南开封475000 [2]河南大学第一附属医院妇科,河南开封475000

出　　处：《临床医学工程》2025年第2期149-151,共3页Clinical Medicine & Engineering

基　　金：河南省医学科技攻关计划联合共建项目(项目编号:LHGJ20190511)。

摘　　要：目的探讨单光子发射计算机断层成像及计算机扫描(SPECT/CT)在甲状舌管囊肿诊断中的应用价值。方法选择2022年3月至2023年12月我院接诊的112例疑似甲状舌管囊肿患者作为研究对象,排除异位甲状腺,均接受SPECT/CT检查,以病理检查结果作为“金标准”,统计SPECT/CT对甲状舌管囊肿的诊断结果,对比甲状舌管囊肿阳性患者与阴性患者的SPECT/CT影像学特征,并分析SPECT/CT对甲状舌管囊肿的诊断效能。结果病理检查结果显示,甲状舌管囊肿阳性有71例、阴性41例;SPECT/CT检出阳性70例、阴性42例。甲状舌管囊肿阳性患者与阴性患者的肿块形态、囊内容物密度、增强扫描强化表现差异均具有统计学意义(P<0.05)。SPECT/CT诊断甲状舌管囊肿的灵敏度、特异度、准确度分别为95.77%(68/71)、95.12%(39/41)、95.54%(107/112),均较高;而漏诊率、误诊率分别为4.23%(3/71)、4.88%(2/41),均较低。结论SPECT/CT用于诊断甲状舌管囊肿价值较高,值得临床借鉴应用。Objective To explore the application value of single photon emission computed tomography and computer tomography(SPECT/CT)in the diagnosis of thyroglossal duct cyst.Methods A total of 112 patients with suspected thyroglossal duct cyst admitted to our hospital from March 2022 to December 2023 were selected as the study subjects,ectopic thyroid were excluded,all selected patients underwent SPECT/CT examination.The pathological examination results were used as the"gold standard",the diagnostic results of SPECT/CT for thyroglossal duct cyst were statistically analyzed,the SPECT/CT imaging features of patients with positive and negative thyroglossal duct cyst were compared,and the diagnostic efficacy of SPECT/CT for thyroglossal duct cyst was analyzed.Results Pathologic examination results showed that thyroglossal duct cyst was positive in 71 cases and negative in 41 cases.SPECT/CT detected 70 positive cases and 42 negative cases.There was statistically significant difference in mass morphology,cyst content density and enhanced scan performance between thyroglossal duct cyst positive patients and negative patients(P<0.05).The sensitivity,specificity,and accuracy of SPECT/CT in diagnosing thyroglossal duct cysts were 95.77%(68/71),95.12%(39/41),and 95.54%(107/112),respectively,all of which were relatively high;the missed diagnosis rate and misdiagnosis rate were 4.23%(3/71)and 4.88%(2/41),respectively,both of which are relatively low.Conclusions SPECT/CT has higher diagnostic value for thyroglossal duct cysts and can be used for clinical reference.

关 键 词：单光子发射计算机断层成像技术 计算机断层扫描 甲状舌管囊肿 诊断价值 

分 类 号：R653[医药卫生—外科学]