摘要
目的探讨CT检查鉴别结节性甲状腺肿(NG)和甲状腺癌(TC)的应用价值。方法回顾性分析我院2010年3月至2016年2月收治的83例NG患者和79例TC患者的CT资料,均经手术、病理确诊,两组患者均接受CT平扫及增强扫描,比较其CT特征差异。结果两组患者在发病年龄、性别、混合钙化、CT平扫以及强化值方面比较差异无统计学意义(P>0.05);而在病灶数目、甲状腺边缘中断征、细颗粒状钙化、瘤体形态、增强扫描实性部分密度、结节边缘情况及囊变表现方面比较差异均有统计学意义(P<0.05)。结论结节性甲状腺肿和甲状腺癌CT表现的特征性具有明显差异,应用CT检查有利于两者的鉴别诊断,具有重要的临床价值。
Objective To investigate the value of computed tomography（CT） examination in differential diagnosis of nodular goiter（NG） and thyroid carcinoma（TC）. Methods The CT data of 83 NG patients and 79 TC patients who confirmed by surgery and pathology in our hospital from March 2010 to February 2016 were retrospectively analyzed. The patients of two groups underwent CT plain scan and enhanced scan. The difference of the CT features were compared. Results There were no significant differences in age, sex, mixed calcification, CT plain scan and enhancement value between the two groups（P〉0.05）. The difference was statistically significant in the number of lesions, the interruption of the thyroid margin, the fine granular calcification, the shape of the tumor, the density of the solid part of the enhanced scan, the edge of the nodule and cystic manifestation（P〈0.05）. Conclusion CT showed significant differences in the characteristics of NG and TC. CT examination is helpful to the differential diagnosis of the two, which has important clinical value.
出处
《海南医学》
CAS
2017年第18期3007-3009,共3页
Hainan Medical Journal
关键词
甲状腺癌
结节性甲状腺肿
计算机体层成像
诊断
Thyroid carcinoma （TC）
Nodular goiter （NG）
Computed tomography （CT）
Diagnosis
