医药与保健
醫藥與保健
의약여보건
MEDICINE AND HEALTH CARE
2015年
1期
4-5
,共2页
甲状腺疾病%体层摄影术%X线计算机%手术%病理
甲狀腺疾病%體層攝影術%X線計算機%手術%病理
갑상선질병%체층섭영술%X선계산궤%수술%병리
Goiter dieases%Tomogrsphy%X-ray computed%Operation%pathology
目的：探讨甲状腺疾病的CT表现，提高认识及诊断水平。方法回顾性分析我院2013年01月01日至2013年10月05日手术病理资料齐全的甲状腺疾病的CT表现。结果123例患者中：单纯结节性甲状腺肿71例，其中合并钙化30例，囊变及出血各11例，伴甲亢5例，伴慢性淋巴结炎3例。结节性甲状腺肿CT主要征象为病灶常多发，形态规则且边界清楚，无淋巴结肿大及周围组织受侵，肿瘤可合并钙化，囊变/出血。密度可均匀或不均匀。增强后病灶轻度至中度强化，瘤内坏死囊变区域无强化。弥漫性甲状腺肿20例，其CT征像为甲状腺弥漫性肿大，密度均匀，形态规则，边界清，无淋巴结肿大及周围组织受侵。结节性甲状腺肿合并腺瘤25例，具有结节性甲状腺肿及腺瘤的CT表现。单纯腺瘤42例，其CT征像为病灶一般小于2cm低密度结节，增强扫描轻度-中度强化，强化程度低于正常甲状腺组织，较少合并出血、钙化或囊变。甲状腺癌22例，其CT征像为甲状腺内不规则占位，边界不清，增强扫描明显不均匀强化，可伴坏死，出血或钙化，多伴有淋巴结转移和周围器官侵犯。结论 CT对甲状腺疾病的诊断具有非常重要意义，掌握其主要CT征象有助于甲状腺疾病的诊断与鉴别诊断。
目的：探討甲狀腺疾病的CT錶現，提高認識及診斷水平。方法迴顧性分析我院2013年01月01日至2013年10月05日手術病理資料齊全的甲狀腺疾病的CT錶現。結果123例患者中：單純結節性甲狀腺腫71例，其中閤併鈣化30例，囊變及齣血各11例，伴甲亢5例，伴慢性淋巴結炎3例。結節性甲狀腺腫CT主要徵象為病竈常多髮，形態規則且邊界清楚，無淋巴結腫大及週圍組織受侵，腫瘤可閤併鈣化，囊變/齣血。密度可均勻或不均勻。增彊後病竈輕度至中度彊化，瘤內壞死囊變區域無彊化。瀰漫性甲狀腺腫20例，其CT徵像為甲狀腺瀰漫性腫大，密度均勻，形態規則，邊界清，無淋巴結腫大及週圍組織受侵。結節性甲狀腺腫閤併腺瘤25例，具有結節性甲狀腺腫及腺瘤的CT錶現。單純腺瘤42例，其CT徵像為病竈一般小于2cm低密度結節，增彊掃描輕度-中度彊化，彊化程度低于正常甲狀腺組織，較少閤併齣血、鈣化或囊變。甲狀腺癌22例，其CT徵像為甲狀腺內不規則佔位，邊界不清，增彊掃描明顯不均勻彊化，可伴壞死，齣血或鈣化，多伴有淋巴結轉移和週圍器官侵犯。結論 CT對甲狀腺疾病的診斷具有非常重要意義，掌握其主要CT徵象有助于甲狀腺疾病的診斷與鑒彆診斷。
목적：탐토갑상선질병적CT표현，제고인식급진단수평。방법회고성분석아원2013년01월01일지2013년10월05일수술병리자료제전적갑상선질병적CT표현。결과123례환자중：단순결절성갑상선종71례，기중합병개화30례，낭변급출혈각11례，반갑항5례，반만성림파결염3례。결절성갑상선종CT주요정상위병조상다발，형태규칙차변계청초，무림파결종대급주위조직수침，종류가합병개화，낭변/출혈。밀도가균균혹불균균。증강후병조경도지중도강화，류내배사낭변구역무강화。미만성갑상선종20례，기CT정상위갑상선미만성종대，밀도균균，형태규칙，변계청，무림파결종대급주위조직수침。결절성갑상선종합병선류25례，구유결절성갑상선종급선류적CT표현。단순선류42례，기CT정상위병조일반소우2cm저밀도결절，증강소묘경도-중도강화，강화정도저우정상갑상선조직，교소합병출혈、개화혹낭변。갑상선암22례，기CT정상위갑상선내불규칙점위，변계불청，증강소묘명현불균균강화，가반배사，출혈혹개화，다반유림파결전이화주위기관침범。결론 CT대갑상선질병적진단구유비상중요의의，장악기주요CT정상유조우갑상선질병적진단여감별진단。
Objective To study the CT manifestations of thyroid disease,improve the understanding and diagnostic level.Methods The CT findings of the analysis of hospital 2013-01-01 to 2013-6-05 operation and pathological data complete thyroid disease review.Results The 123 patients:71 cases of nodular goiter,30 cases with calcification,cystic change and hemorrhage in 11 cases,5 cases with hyperthyroidism,3 cases with chronic lymphadenitis.Nodular goiter CT signs of lesions often occurred,regular shape and clear boundary,no enlarged lymph nodes and surrounding tissue invasion,tumor with calcification,cystic change and hemorrhage.Homogeneous or heterogeneous density.The enhanced lesions were mild to moderate enhancement in tumor necrosis,cystic region without enhancement.Diffuse goiter in 20 cases,the CT syndrome as diffuse enlargement of the thyroid gland,uniform density,regular shape,clear boundary,no enlarged lymph nodes and surrounding tissue invasion.5 cases of nodular goiter and thyroid adenoma,CT showed nodular goiter and adenoma.Simple adenoma in 25 cases,the CT signs of lesions less than 2cm in low density nodules,mild to moderate enhancement scan,it was lower than the normal thyroid tissue, less hemorrhage,calcification and cystic degeneration.42 cases of thyroid carcinoma,the CT sign for thyroid irregular occupying,the boundary was not clear,enhanced scan marked inhomogeneous enhancement,accompanied by necrosis,hemorrhage or calcification, associated with lymph node metastasis and invasion of the surrounding organs.Conclusion CT has very important significance in diagnosis of thyroid disease,master the diagnosis and differential diagnosis of the main CT findings contribute to thyroid disease.
