中华医学杂志
中華醫學雜誌
중화의학잡지
National Medical Journal of China
2011年
45期
3210-3213
,共4页
郝丽君%方军初%洪智慧%许袁琦%刘增礼
郝麗君%方軍初%洪智慧%許袁琦%劉增禮
학려군%방군초%홍지혜%허원기%류증례
甲状腺结节%99m锝高锝酸钠%放射性核素显像%超声检查
甲狀腺結節%99m锝高锝痠鈉%放射性覈素顯像%超聲檢查
갑상선결절%99m득고득산납%방사성핵소현상%초성검사
Thyroid nodules%Sodium pertechnetate Tc 99m%Radionuclide imaging%Ultrasonography
目的 探讨99mTcO4-核素显像联合超声检查对甲状腺结节的诊断价值.方法 以术后病理结果为金标准,对苏州大学附属第二医院2006年4月至2010年8月114例患者的125个甲状腺结节的99mTcO4-核素显像及超声检查结果进行对比研究.结果(1)125个结节中,甲状腺腺瘤所占比例为51.2%,甲状腺癌仪占24.0%,其他甲状腺病变占24.8%;核素显像中“冷”结节占73.6%,其中甲状腺癌占25.0%;超声检查中以实性结节和囊实性结节为主且实性结节的恶性率最高.(2)实性“凉”、“冷”结节与囊实性“凉”、“冷”结节的恶性率差异有统计学意义(P<0.05).(3)在直径>2.0 cm的实性“凉”、“冷”结节中,甲状腺癌占62.5%.结论 99mTcO4-核素显像联合超声检查有助于评价甲状腺结节的摄取能力,对鉴别诊断甲状腺结节良恶性起着重要作用.
目的 探討99mTcO4-覈素顯像聯閤超聲檢查對甲狀腺結節的診斷價值.方法 以術後病理結果為金標準,對囌州大學附屬第二醫院2006年4月至2010年8月114例患者的125箇甲狀腺結節的99mTcO4-覈素顯像及超聲檢查結果進行對比研究.結果(1)125箇結節中,甲狀腺腺瘤所佔比例為51.2%,甲狀腺癌儀佔24.0%,其他甲狀腺病變佔24.8%;覈素顯像中“冷”結節佔73.6%,其中甲狀腺癌佔25.0%;超聲檢查中以實性結節和囊實性結節為主且實性結節的噁性率最高.(2)實性“涼”、“冷”結節與囊實性“涼”、“冷”結節的噁性率差異有統計學意義(P<0.05).(3)在直徑>2.0 cm的實性“涼”、“冷”結節中,甲狀腺癌佔62.5%.結論 99mTcO4-覈素顯像聯閤超聲檢查有助于評價甲狀腺結節的攝取能力,對鑒彆診斷甲狀腺結節良噁性起著重要作用.
목적 탐토99mTcO4-핵소현상연합초성검사대갑상선결절적진단개치.방법 이술후병리결과위금표준,대소주대학부속제이의원2006년4월지2010년8월114례환자적125개갑상선결절적99mTcO4-핵소현상급초성검사결과진행대비연구.결과(1)125개결절중,갑상선선류소점비례위51.2%,갑상선암의점24.0%,기타갑상선병변점24.8%;핵소현상중“랭”결절점73.6%,기중갑상선암점25.0%;초성검사중이실성결절화낭실성결절위주차실성결절적악성솔최고.(2)실성“량”、“랭”결절여낭실성“량”、“랭”결절적악성솔차이유통계학의의(P<0.05).(3)재직경>2.0 cm적실성“량”、“랭”결절중,갑상선암점62.5%.결론 99mTcO4-핵소현상연합초성검사유조우평개갑상선결절적섭취능력,대감별진단갑상선결절량악성기착중요작용.
Objective To evaluate the diagnostic values of 99mTcO4-thyroid imaging plus ultrasonography in the differentiation of benign and malignant thyroid nodules.Methods 99mTcO4-thyroid imaging and ultrasonography were performed for 114 patients with 125 thyroid nodules.And the examination results were compared with the post-operative pathological findings.Results(1)Among 125 thyroid nodules,there were thyroid adenoma(n =64,51.2%),thyroid cancer(n =30,24.0%)and other thyroid diseases(n =31,24.8%).On thyroid images,73.6% of them were of cold nodules.And among these cold nodules,25.0% were of thyroid cancer.Among the ultrasonic results,125 nodules were predominantly of solid nodules and mixed solid and cystic nodules while the malignant rate of solid nodules was the highest.(2)The malignant rate of solid cool or cold nodules was greater than those of mixed solid and cystic cool or cold nodules(P <0.005).(3)In solid cool or cold nodules with a diameter of ≥2.0 cm,thyroid cancer accounted for 62.5%.Conclusion The combination of 99mTcO4-thyroid imaging and ultrasonography may help to evaluate the 99mTcO4-uptaking functions of thyroid nodules so that it plays an important role in the differentiation of benign and malignant thyroid nodules.