CAJ | 학술논문

目的：探讨CT扫描测量甲状腺重量的准确性，为临床131 I治疗甲亢测量甲状腺重量提供一种较准确的方法。方法采用SIEMENS SOMATOM Emotion 6层螺旋CT扫描系统，利用其体积测量功能，对71例确诊原发甲亢患者手术前后甲状腺重量分别进行测量，两者值相减并与实际切除重量对比。结果CT测量的甲状腺重量差平均值为（46．382±20．677），实际切除的甲状腺重量平均值为（45．689±20．994），CT测量的甲状腺重量之差与手术实际切除重量差异无显著性（P＞0．05），两者有高度相关性（r＝0．927，P＜0．01）。结论 CT能准确测量甲状腺的重量，从而为临床131 I治疗甲亢时的甲状腺测重提供一种既准确又简便的方法。
목적：탐토CT소묘측량갑상선중량적준학성，위림상131 I치료갑항측량갑상선중량제공일충교준학적방법。방법채용SIEMENS SOMATOM Emotion 6층라선CT소묘계통，이용기체적측량공능，대71례학진원발갑항환자수술전후갑상선중량분별진행측량，량자치상감병여실제절제중량대비。결과CT측량적갑상선중량차평균치위（46．382±20．677），실제절제적갑상선중량평균치위（45．689±20．994），CT측량적갑상선중량지차여수술실제절제중량차이무현저성（P＞0．05），량자유고도상관성（r＝0．927，P＜0．01）。결론 CT능준학측량갑상선적중량，종이위림상131 I치료갑항시적갑상선측중제공일충기준학우간편적방법。
Objective To access the accuracy of measuring thyroid weight by CT, and provide an accurate method for evaluate thyroid weight before 131 I therapy.Methods The weight of thyroid of 71 cases with hyperthyroidism was measured by SIEMENS SOMATOM Emotion scanner system both at pre -and post -operation, compared their dispersion with the weight after it was cut off.Results The average weight of thyroid measured by CT was 46.382 ±20.677, the average actualweight was 45.689 ±20.994, there is no distinct difference between the calculated weight and actual weight (P>0.05),and there has a high correlation between them (r=0.927,P<0.01).Conclusions CT can determine thyroid weight accurately, so it can provide an accurate and handy method in determining the weight of thyroid for hyperthyroidism patient will be treated with 131 I.