CAJ | 학술논문

目的：探讨64排螺旋CT扫描技术的综合运用对结节性甲状腺肿的诊断及鉴别诊断方面的价值。方法：选择41例经过病理证实的结节性甲状腺肿，甲状腺肿瘤及其他结节性甲状腺疾病若干，全部行64排螺旋CT平扫及动态增强扫描加后续重建，观察病灶的大小、形态、密度、边缘、强化特点及有无侵犯和转移等，总结和归纳病灶的影像学表象及特征。结果：结节性甲状腺肿、甲状腺肿瘤及其他结节性甲状腺疾病在CT影像上的表现可能少部分有所重叠，但大多数趋于不同，且有一定规律可循。结论：基于64排CT扫描技术的综合运用可在很大程度上掌握结节性甲状腺肿及相似疾病的表象及特征，对结节性甲状腺肿诊断及鉴别诊断具有重要意义。
목적：탐토64배라선CT소묘기술적종합운용대결절성갑상선종적진단급감별진단방면적개치。방법：선택41례경과병리증실적결절성갑상선종，갑상선종류급기타결절성갑상선질병약간，전부행64배라선CT평소급동태증강소묘가후속중건，관찰병조적대소、형태、밀도、변연、강화특점급유무침범화전이등，총결화귀납병조적영상학표상급특정。결과：결절성갑상선종、갑상선종류급기타결절성갑상선질병재CT영상상적표현가능소부분유소중첩，단대다수추우불동，차유일정규률가순。결론：기우64배CT소묘기술적종합운용가재흔대정도상장악결절성갑상선종급상사질병적표상급특정，대결절성갑상선종진단급감별진단구유중요의의。
Objective:To discuss the comprehensive application of 64-slice spiral CT scan techniques on the diagnosis value of nodular goiter and its differential diagnostic value. Methods:41 cases of nodular goiter,thyroid tumors and other nodular thyroid diseases,which had been verified by pathology,were selected to conduct 64-slice spiral CT scan and dynamic contrast-enhanced scan plus follow-up reconstruction. With observing the size,shape,density,edge,enhancing char-acteristics of the lesion as well as its infringement and metastasis,imaging characteristics of the le-sion were concluded. Results:The imaging manifestations of nodular goiter,thyroid tumors and oth-er nodular thyroid diseases overlap only in small portion on CT,but mostly they are different. Con-clusion:The comprehensive application of 64-slice spiral CT scan techniques can considerably di-agnose the representations and characteristics of nodular goiter and similar diseases,which is signifi-cant to the diagnosis and differential diagnosis of nodular goiter.