CAJ | 학술논문

目的：探讨研究CT对甲状腺结节性病变的诊断价值。方法：回顾性对照分析78例经病理证实的甲状腺结节病变的病理结果及CT影像表现。结果：78例病例中31例为结节性甲状腺肿，其中22例为双侧，9例为单侧。增强内见多个低密度结节，17例伴有囊变坏死。37例为甲状腺腺瘤，其中11例发生于两侧，15例有钙化，33例有囊变、出血及环形强化，包膜完整，边界清楚。8例为甲状腺癌，2例为转移癌，癌性结节及转移瘤密度及强化均不均匀，包膜不完整，与周边组织分界不清。甲状腺癌可见单侧或双侧颈部淋巴结肿大。结论：通过CT观察结节的数目、边界、钙化、囊变及强化情况、与正常周围结构的关系、淋巴结和远处转移情况等，对甲状腺结节病变的诊断及鉴别有重要的诊断价值。
목적：탐토연구CT대갑상선결절성병변적진단개치。방법：회고성대조분석78례경병리증실적갑상선결절병변적병리결과급CT영상표현。결과：78례병례중31례위결절성갑상선종，기중22례위쌍측，9례위단측。증강내견다개저밀도결절，17례반유낭변배사。37례위갑상선선류，기중11례발생우량측，15례유개화，33례유낭변、출혈급배형강화，포막완정，변계청초。8례위갑상선암，2례위전이암，암성결절급전이류밀도급강화균불균균，포막불완정，여주변조직분계불청。갑상선암가견단측혹쌍측경부림파결종대。결론：통과CT관찰결절적수목、변계、개화、낭변급강화정황、여정상주위결구적관계、림파결화원처전이정황등，대갑상선결절병변적진단급감별유중요적진단개치。
Objective:To study the CT diagnostic value of thyroid nodule lesions.Method:Contrastive analysis of 78 cases confirmed by pathology of thyroid nodule lesions pathologic results and CT imaging manifestations. Result:In 78 cases,31 cases of nodular goiter,including 22 cases of bilateral,9 cases of unilateral.Enhance the see multiple low density nodules,17 cases with cystic necrosis.37 cases of thyroid adenoma,including 11 cases occurred in two side,15 cases had calcification,33 patients with cystic change,the bleeding circular reinforcement,membrane integrity,boundaries clear.8 cases of thyroid carcinoma,2 cases of metastatic carcinoma,metastases to the cancerous nodules and density and reinforcement were uneven,incomplete capsule,and the surrounding tissue boundary was not clear.Thyroid cancer was unilateral or bilateral neck lymph node enlargement.Conclusion:By CT to observe the number of nodules,boundary,calcification,cystic change and strengthen the situation and the relationship with normal surrounding structures,such as lymph node and distant metastasis,diagnosis of thyroid nodule lesions has important diagnostic value.