CAJ | 학술논문

目的用~(99)Tc~m-高锝酸钠(~(99)Tc~mO_4~-)与~(99)Tc~m-4,9-二氮-3,3,10,10-四甲基十二烷-2,11-二酮(~(99)Tc~m-HL91)联合显像鉴别甲状腺结节的性质,评价其临床价值.方法对65例甲状腺结节患者行~(99)Tc~mO_4~-动、静态双时相显像,48 h后再对其进行呵~(99)Tc~mO_4~-静态显像.显像结果示为冷结节的46例患者再行~(99)Tc~m-HL91乏氧显像,最后将两种显像结果与病理活检结果进行对比分析.结果 ~(99)Tc~mO_4~-显像对甲状腺结节诊断的灵敏度、特异度和准确度分别为78.6%、71.9%、73.9%;~(99)Tc~m-HL91显像为88.7%、92.3%、91.4%,两者联合显像对甲状腺结节的诊断灵敏度为92.9%、特异度为93.8%、准确度为93.5%.结论 ~(99)Tc~mO_4~-与~(99)Tc~m-HL91两种显像方法相结合有助于提高诊断符合率.
목적 용~(99)Tc~m-고득산납(~(99)Tc~mO_4~-)여~(99)Tc~m-4,9-이담-3,3,10,10-사갑기십이완-2,11-이동(~(99)Tc~m-HL91)연합현상감별갑상선결절적성질,평개기림상개치.방법 대65례갑상선결절환자행~(99)Tc~mO_4~-동、정태쌍시상현상,48 h후재대기진행가~(99)Tc~mO_4~-정태현상.현상결과시위랭결절적46례환자재행~(99)Tc~m-HL91핍양현상,최후장량충현상결과여병리활검결과진행대비분석.결과 ~(99)Tc~mO_4~-현상대갑상선결절진단적령민도、특이도화준학도분별위78.6%、71.9%、73.9%;~(99)Tc~m-HL91현상위88.7%、92.3%、91.4%,량자연합현상대갑상선결절적진단령민도위92.9%、특이도위93.8%、준학도위93.5%.결론 ~(99)Tc~mO_4~-여~(99)Tc~m-HL91량충현상방법상결합유조우제고진단부합솔.
Objective To evaluate the clinical value of ~(99)Tc~m-sodium pertechnetate(~(99)Tc~mO_4~-)and~(99)Tc~m-4,9-diaza-3,3,10,10-tetramethylododecan-2,11-dione dioxime(~(99)Tc~m-HL91)imaging in differentiation of thyroid nodules.Methods ~(99)Tc~mO_4~- dynamic and static imagings were performed to the 65 cases of patients with thyroid nodules.After 48 hours,the 46 cases of patients whose ~(99)Tc~mO_4~- static imaging prompt cold nodules underwent ~(99)Tc~m-HL91 hypexia imaging.And finally,compare the results of the two types imaging with biopsy results.Results The sensitivity,specificity and accuracy of ~(99)Tc~mO_4~- imaging in the diagnosis of thyroid nodules were 78.6%,71.9% and 73.9% respectively.The sensitivity,specificity and accuracy of ~(99)Tc~m-HL91 imaging in the diagnosis of thyroid nodules were 88.7%,92.3% and 91.4%respectively.And the sensitivity,specificity and accuracy of Combining ~(99)Tc~mO_4/~(99)Tc~m-HL91 imaging were92.9%,93.8% and 93.5% respectively.Conclusion Combining ~(99)Tc~mO_4~- and ~(99)Tc~m-HL91 imaging methods can improve the coincidence.