中外医疗
中外醫療
중외의료
China Foreign Medical Treatment
2015年
31期
184-186
,共3页
甲状腺结节%螺旋CT%诊断%应用价值
甲狀腺結節%螺鏇CT%診斷%應用價值
갑상선결절%라선CT%진단%응용개치
Thyroid Nodules%Spiral CT%Diagnosis%Application Value
目的：研究甲状腺结节应用螺旋CT的诊断价值。方法整群选取2012年5月-2015年4月该院收治的甲状腺结节患者54例作为研究对象，采用螺旋CT扫描，观察检查结果，分析平片特征。结果病理检出良性结节26例、恶性结节28例；CT检出良性结节29例、恶性结节25例，灵敏度为78.6%，特异性为88.5%，准确率为90.0%。病灶分布位置和囊变情况比较均匀，增强扫描后良性以环形强化(72.4%)为主，恶性以蟹足状强化(44.0%)、强化残圈症(40.0%)为主。良、恶性结节在形态、边界、钙化和BF、MTT指标上差异有统计学意义(P<0.05)。结论对于甲状腺结节患者而言，应用螺旋CT扫描效果显著，不仅灵敏度、特异性、准确率高，还能判断病灶类型，在病情诊断和疗效评估上具有重要应用价值。
目的：研究甲狀腺結節應用螺鏇CT的診斷價值。方法整群選取2012年5月-2015年4月該院收治的甲狀腺結節患者54例作為研究對象，採用螺鏇CT掃描，觀察檢查結果，分析平片特徵。結果病理檢齣良性結節26例、噁性結節28例；CT檢齣良性結節29例、噁性結節25例，靈敏度為78.6%，特異性為88.5%，準確率為90.0%。病竈分佈位置和囊變情況比較均勻，增彊掃描後良性以環形彊化(72.4%)為主，噁性以蟹足狀彊化(44.0%)、彊化殘圈癥(40.0%)為主。良、噁性結節在形態、邊界、鈣化和BF、MTT指標上差異有統計學意義(P<0.05)。結論對于甲狀腺結節患者而言，應用螺鏇CT掃描效果顯著，不僅靈敏度、特異性、準確率高，還能判斷病竈類型，在病情診斷和療效評估上具有重要應用價值。
목적：연구갑상선결절응용라선CT적진단개치。방법정군선취2012년5월-2015년4월해원수치적갑상선결절환자54례작위연구대상，채용라선CT소묘，관찰검사결과，분석평편특정。결과병리검출량성결절26례、악성결절28례；CT검출량성결절29례、악성결절25례，령민도위78.6%，특이성위88.5%，준학솔위90.0%。병조분포위치화낭변정황비교균균，증강소묘후량성이배형강화(72.4%)위주，악성이해족상강화(44.0%)、강화잔권증(40.0%)위주。량、악성결절재형태、변계、개화화BF、MTT지표상차이유통계학의의(P<0.05)。결론대우갑상선결절환자이언，응용라선CT소묘효과현저，불부령민도、특이성、준학솔고，환능판단병조류형，재병정진단화료효평고상구유중요응용개치。
Objective To study the diagnostic value of spiral CT in the diagnosis of thyroid nodules. Methods 54 cases of thyroid nodules in our hospital from May 2015 to April 2012 as the research object, used spiral CT scanning, observed re-sults, analysed the characteristics of flat plate. Results 26 cases of benign lesions, 28 cases of malignant lesions, 29 cases of benign CT, 25 cases of malignant, the sensitivity of 78.6%, specificity of 88.5%, accuracy rate was 90%. The location of the lesions and the distribution of the cysts were uniform, and the enhancement of the lesions was mainly in the ring en-hancement (72.4%), and the malignant tumor was in the foot of the crab (44%), and the residual disease (40%). Benign and malignant in morphology, boundary, calcification, and BF, and MTT were significantly different, with statistical significance (P<0.05). Conclusion The application of spiral CT scan in thyroid nodules has obvious effect, sensitivity, specificity, accu-racy, can determine the type of lesions, and has important value in the diagnosis and treatment of disease.
