数理医药学杂志
數理醫藥學雜誌
수리의약학잡지
Journal of Mathematical Medicine
2015年
10期
1435-1436
,共2页
甲状腺结节%CT 扫描%诊断%良恶性%效果
甲狀腺結節%CT 掃描%診斷%良噁性%效果
갑상선결절%CT 소묘%진단%량악성%효과
thyroid nodule%CT scan%diagnosis%benign and malignant%effect
目的：：分析在诊断甲状腺单发结节性疾病的过程中 CT 诊断的价值。方法：随机从2012年6月~2014年6月来某院治疗单发结节甲状腺疾病的患者中选出110例,对患者进行 CT 扫描诊断,分析各患者的主要 CT 表现,包括结节的形态、边界形态、是否出现坏死情况、钙化形态、物质密度、强化程度、与周围组织的关系、是否出现淋巴结肿大等。结果：在本次分析的110例患者当中有26例为甲状腺癌,有20例患者为结节性甲状腺疾病,64例患者为甲状腺瘤。对患者的 CT 扫描情况进行分析可以看出,其中恶性病变的患者病灶大多是实质性结构,其病灶边缘模糊不清、边缘的形状也极不规则,其病灶内部可以看到明显的砂砾状钙化斑块,并且已经与周边的组织发生了浸润情况。而良性病变的患者病灶大多为囊性结构,其病灶边缘清晰,形态完整且具有规律性,病灶内部的钙化斑块呈现粗大状,并且没有和周围组织发生浸润的情况。两类病变的 CT 扫描表现具有着明显的差异,具有统计学意义(P<0.05)。结论：在对结节性甲状腺疾病的诊断过程中,利用 CT 扫描检测方式能够取得较好的效果,并且其影像学表现明显,良恶性能够被更加清楚的区分,值得在临床时间过程中进行推广。
目的：：分析在診斷甲狀腺單髮結節性疾病的過程中 CT 診斷的價值。方法：隨機從2012年6月~2014年6月來某院治療單髮結節甲狀腺疾病的患者中選齣110例,對患者進行 CT 掃描診斷,分析各患者的主要 CT 錶現,包括結節的形態、邊界形態、是否齣現壞死情況、鈣化形態、物質密度、彊化程度、與週圍組織的關繫、是否齣現淋巴結腫大等。結果：在本次分析的110例患者噹中有26例為甲狀腺癌,有20例患者為結節性甲狀腺疾病,64例患者為甲狀腺瘤。對患者的 CT 掃描情況進行分析可以看齣,其中噁性病變的患者病竈大多是實質性結構,其病竈邊緣模糊不清、邊緣的形狀也極不規則,其病竈內部可以看到明顯的砂礫狀鈣化斑塊,併且已經與週邊的組織髮生瞭浸潤情況。而良性病變的患者病竈大多為囊性結構,其病竈邊緣清晰,形態完整且具有規律性,病竈內部的鈣化斑塊呈現粗大狀,併且沒有和週圍組織髮生浸潤的情況。兩類病變的 CT 掃描錶現具有著明顯的差異,具有統計學意義(P<0.05)。結論：在對結節性甲狀腺疾病的診斷過程中,利用 CT 掃描檢測方式能夠取得較好的效果,併且其影像學錶現明顯,良噁性能夠被更加清楚的區分,值得在臨床時間過程中進行推廣。
목적：：분석재진단갑상선단발결절성질병적과정중 CT 진단적개치。방법：수궤종2012년6월~2014년6월래모원치료단발결절갑상선질병적환자중선출110례,대환자진행 CT 소묘진단,분석각환자적주요 CT 표현,포괄결절적형태、변계형태、시부출현배사정황、개화형태、물질밀도、강화정도、여주위조직적관계、시부출현림파결종대등。결과：재본차분석적110례환자당중유26례위갑상선암,유20례환자위결절성갑상선질병,64례환자위갑상선류。대환자적 CT 소묘정황진행분석가이간출,기중악성병변적환자병조대다시실질성결구,기병조변연모호불청、변연적형상야겁불규칙,기병조내부가이간도명현적사력상개화반괴,병차이경여주변적조직발생료침윤정황。이량성병변적환자병조대다위낭성결구,기병조변연청석,형태완정차구유규률성,병조내부적개화반괴정현조대상,병차몰유화주위조직발생침윤적정황。량류병변적 CT 소묘표현구유착명현적차이,구유통계학의의(P<0.05)。결론：재대결절성갑상선질병적진단과정중,이용 CT 소묘검측방식능구취득교호적효과,병차기영상학표현명현,량악성능구피경가청초적구분,치득재림상시간과정중진행추엄。
Objective:To analyze the value of CT to the diagnosis of thyroid solitary nodules.Methods:Randomly select 1 10 patients with solitary thyroid nodule deceived in some hospital during the period from June 2013 to June 2014,to scan the patients with CT,analyze the main CT findings of the patients,inclu-ding the morphology of nodules and the morphology of border,the occurrence of necrosis ,calcification,ma-terial density,reinforcement degree,and the relationship with tissues around,the enlargement of lymph nodes,etc.Results:Of the 1 10 patients ,26 cases were found to be with thyroid carcinoma and 20 cases were with nodular thyroid diseases,64 cases were with thyroid adenoma.According to the analysis on CT scans for patients ,the focus of most patients with malignant lesions were with parenchymal structure,the border of focus was blur ,the shape of the border was extremely irregular ,gravel shaped calcificated plaques can be found inside the focus and they had infiltrated into the tissues around them .And the focus of the patients with benign lesions were mostly with cystic structure,the border of the focus was clear,the morphology was integrate and the regular,focal calcified plaques were bulky and did not infiltrated into the tissues around.the difference between the CT findings of these two lesions was obvious and was statistically significant (P <0.05).Conclusion:During the diagnosis of nodular thyroid disease,it is effective to apply CT scan,and the im-aging findings were obvious,the distinction between the benign and malignancy would be more clear,is worth popularizing clinically.
