CAJ | 학술논문

目的：对比B超、CT、MRI对甲状腺微小癌的诊断意义。方法选取90例已被病理确诊为甲状腺微小癌患者的病历资料进行回顾性分析，所有患者均采用B超、CT及MRI的方法进行过影像学诊断，并将影像学诊断结果与病理结果做对照分析，统计肿瘤直径≤1 cm患者的甲状腺微小癌阳性率。结果对于肿瘤直径≤1 cm的患者， B超显示肿瘤阳性率为73.3%，CT显示肿瘤阳性率为35.6%，MRI显示肿瘤阳性率为31.1%，CT与MRI结果差异无统计学意义（P＞0.05），B超与CT、MRI结果比较，差异有统计学意义（P＜0.05）。结论B超、CT、MRI为甲状腺微小癌早期诊断的常用方法，其中B超是目前最有效的检查方法，为临床诊断疾病提供更为有效的依据，对临床具有指导意义，值得临床推广。
목적：대비B초、CT、MRI대갑상선미소암적진단의의。방법선취90례이피병리학진위갑상선미소암환자적병력자료진행회고성분석，소유환자균채용B초、CT급MRI적방법진행과영상학진단，병장영상학진단결과여병리결과주대조분석，통계종류직경≤1 cm환자적갑상선미소암양성솔。결과대우종류직경≤1 cm적환자， B초현시종류양성솔위73.3%，CT현시종류양성솔위35.6%，MRI현시종류양성솔위31.1%，CT여MRI결과차이무통계학의의（P＞0.05），B초여CT、MRI결과비교，차이유통계학의의（P＜0.05）。결론B초、CT、MRI위갑상선미소암조기진단적상용방법，기중B초시목전최유효적검사방법，위림상진단질병제공경위유효적의거，대림상구유지도의의，치득림상추엄。
Objective To compared the diagnostic significance of B ultrasonic, CT, MRI on thyroid microcarcinoma. Methods Data of 90 cases of patients with thyroid microcarcinoma diagnosed by pathology were selected and analyzed retrospectively. All patients were given image diagnosis by B ultrasonic, CT, MRI, and the imaging diagnosis results were compared with pathologic findings. The positive rate of diameter≤1 cm thyroid microcarcinoma was calculated. Results Patients with diameter≤1 cm tumor, the positive rate of B ultrasonic, CT, MRI was 73.3%, 35.6%, 31.1%, the difference between CT and MRI had no statistically significant (P>0.05), but the differences between B ultrasonic and CT, MRI had statistically significant (P<0.05). Conclusion B ultrasonic, CT, MRI as the common methods for early di?agnosis of thyroid microcarcinoma, B ultrasonic is the most effective method for examine, which provide effective basis for clinical diagnosis of disease, has guiding significance, is worthy of clinical application.