中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
30期
117-117,119
,共2页
16排螺旋CT%钙化%甲状腺结节
16排螺鏇CT%鈣化%甲狀腺結節
16배라선CT%개화%갑상선결절
16 slice spiral CT%Calcification%Thyroid nodules
目的：探究16排螺旋 CT 扫描在甲状腺结节病变的诊断中所起到的作用及临床价值。方法：2010年3月-2014年3月收治甲状腺结节病变患者60例，经过病理及手术证实，其中恶性病变30例，良性病变30例，将其作为研究对象并分为恶性组和良性组。在术前对所有患者采用16排螺旋CT对甲状腺进行检查，观察并判定甲状腺中是否存在钙化形态或钙化。结果：恶性组(甲状腺癌)的CT诊断正确率64.31%，钙化率63.3%；良性组(良性病变)的CT诊断正确率76.13%，钙化率19.98%(P＜0.01)；甲状腺癌内的微小钙化占钙化总数的33.47%，良性结节内的微小钙化73.31%。数据差异具有统计学意义(P＜0.05)。结论：在甲状腺的良恶性结节诊断中16排螺旋CT扫描具有重要的诊断意义。
目的：探究16排螺鏇 CT 掃描在甲狀腺結節病變的診斷中所起到的作用及臨床價值。方法：2010年3月-2014年3月收治甲狀腺結節病變患者60例，經過病理及手術證實，其中噁性病變30例，良性病變30例，將其作為研究對象併分為噁性組和良性組。在術前對所有患者採用16排螺鏇CT對甲狀腺進行檢查，觀察併判定甲狀腺中是否存在鈣化形態或鈣化。結果：噁性組(甲狀腺癌)的CT診斷正確率64.31%，鈣化率63.3%；良性組(良性病變)的CT診斷正確率76.13%，鈣化率19.98%(P＜0.01)；甲狀腺癌內的微小鈣化佔鈣化總數的33.47%，良性結節內的微小鈣化73.31%。數據差異具有統計學意義(P＜0.05)。結論：在甲狀腺的良噁性結節診斷中16排螺鏇CT掃描具有重要的診斷意義。
목적：탐구16배라선 CT 소묘재갑상선결절병변적진단중소기도적작용급림상개치。방법：2010년3월-2014년3월수치갑상선결절병변환자60례，경과병리급수술증실，기중악성병변30례，량성병변30례，장기작위연구대상병분위악성조화량성조。재술전대소유환자채용16배라선CT대갑상선진행검사，관찰병판정갑상선중시부존재개화형태혹개화。결과：악성조(갑상선암)적CT진단정학솔64.31%，개화솔63.3%；량성조(량성병변)적CT진단정학솔76.13%，개화솔19.98%(P＜0.01)；갑상선암내적미소개화점개화총수적33.47%，량성결절내적미소개화73.31%。수거차이구유통계학의의(P＜0.05)。결론：재갑상선적량악성결절진단중16배라선CT소묘구유중요적진단의의。
Objective:To explore the effect and clinical value of 16 slice spiral CT scanning in thyroid nodule lesions.Methods:60 patients with thyroid nodule lesions were selected from March 2010 to March 2014.After confirmed by pathology and surgery, among 30 cases were malignant lesions,and 30 cases were benign lesions.They were as the research objects and divided into the malignant group and the benign group.In the preoperative,16 slice spiral CT examination on thyroid was used in all patients.The existence of calcified form and calcification in thyroid were observed and determined.Results:The CT diagnosis accuracy of the malignant group(thyroid cancer) was 64.31% ;the calcified incidence was 63.3% .The CT diagnosis accuracy of the benign group(benign lesion) was 76.13%;the calcified incidence was 19.98%(P<0.01).The tiny calcification in thyroid cancer occupied 33.47% of the total number of calcification.The tiny calcification in benign nodules occupied 73.31%.The experimental data had statistical difference(P<0.05).Conclusion:16 slice spiral CT scanning has excellent diagnostic significance in the diagnosis of benign and malignant thyroid nodules.
