摘要
目的探讨CT在乳头状甲状腺微小癌和微小结节性甲状腺肿中的鉴别诊断价值。方法将本院收治的102例甲状腺微小结节患者按照病理检查结果分为乳头状甲状腺微小癌组(观察组)和微小结节性甲状腺肿组(对照组),各61例,分析、对比两组CT检查结果和CT值的大小。结果观察组结节单发、形态不规则、边界不清晰、细颗粒状钙化及边缘中断征等方面高于对照组,P<0.05,差异具有统计学意义,观察组混合钙化发生情况低于对照组,P<0.05,差异具有统计学意义;观察组结节左叶体积、右叶体积、峡部体积及结节的体积均高于对照组,P<0.05,差异具有统计学意义。结论 CT对乳头状甲状腺微小癌和微小结节性甲状腺肿的鉴别具有积极的指导意义,可作为临床中疾病诊断参考的一项常规检查。
Objective To investigate the value of CT in differential diagnosis of papillary thyroid carcinoma and nodular goiter.Methods Selected 102 patients were divided into papillary thyroid cancer group ( the observation group ) and small nodular goiter group ( the control group), 61 cases in each group, the two groups were analyzed and compared with the CT test results and the size of CT value.Results The observation group of nodules is single, irregular shape, boundary was not clear, fine granular calciifcation and edge interrupt syndrome were higher than those in the control group, the difference between the two groups,P〈0.05, had difference statistically significance, the observation group mixture calcification occurrence was lower than the control group,P〈0.05, had difference statistically significance. the observation group of the volume of the nodule group left lobe volume, right lobe volume, isthmus volume and nodules were higher than the control group,P〈0.05, had difference statistically significance.Conclusion CT can be used as a routine examination in the diagnosis of papillary thyroid carcinoma and small nodular goiter.
出处
《中国继续医学教育》
2015年第26期41-43,共3页
China Continuing Medical Education