本文選題：甲狀腺結(jié)節(jié)　切入點(diǎn)：螺旋CT　出處：《西北國(guó)防醫(yī)學(xué)雜志》2017年03期 　論文類型：期刊論文

【摘要】：目的:探討CT征象在甲狀腺結(jié)節(jié)診斷中的意義。方法:回顧性分析經(jīng)手術(shù)病理確診的30例甲狀腺結(jié)節(jié)(38個(gè)結(jié)節(jié))的CT平掃及三期增強(qiáng)掃描圖像,由2名及以上高年資醫(yī)師對(duì)所有CT征象進(jìn)行判讀,結(jié)合病理資料,分析CT各征象對(duì)甲狀腺結(jié)節(jié)良惡性鑒別的價(jià)值。結(jié)果:33個(gè)良性結(jié)節(jié)表現(xiàn)為邊界清晰,有完整或不完整強(qiáng)化包膜,結(jié)節(jié)實(shí)性部分明顯強(qiáng)化,有不強(qiáng)化囊變壞死區(qū),強(qiáng)化時(shí)間密度曲線27個(gè)為流出型,6個(gè)良性結(jié)節(jié)因囊性部分多,實(shí)性部分少,無(wú)法準(zhǔn)確測(cè)量CT值,無(wú)法分型,4個(gè)結(jié)節(jié)出現(xiàn)鈣化,形態(tài)為斑狀、結(jié)節(jié)狀、環(huán)狀粗鈣化,1例甲狀腺多發(fā)結(jié)節(jié)患者頸Ⅵ區(qū)出現(xiàn)相同表現(xiàn)形式結(jié)節(jié);5個(gè)惡性結(jié)節(jié)表現(xiàn)為邊界模糊,無(wú)包膜,時(shí)間密度曲線為緩升平臺(tái)型,3例有區(qū)域性淋巴結(jié)轉(zhuǎn)移,2個(gè)結(jié)節(jié)出現(xiàn)鈣化,為斑點(diǎn)狀成簇分布鈣化。結(jié)論:依據(jù)有無(wú)淋巴結(jié)轉(zhuǎn)移判定甲狀腺結(jié)節(jié)良惡性是首要指標(biāo);結(jié)節(jié)邊界、有無(wú)包膜、鈣化形態(tài)、時(shí)間密度曲線等CT征象是進(jìn)行甲狀腺結(jié)節(jié)良惡性鑒別的有效方法。
[Abstract]:Objective: to investigate the significance of CT findings in the diagnosis of thyroid nodules. Methods: Ct plain and three phase enhanced CT images of 30 cases of thyroid nodules (38 nodules) confirmed by operation and pathology were retrospectively analyzed. All CT signs were interpreted by two or more senior medical practitioners. Combined with pathological data, the value of CT signs in differentiating benign and malignant thyroid nodules was analyzed. Results: the boundary of 33 benign nodules was clear. There were complete or incomplete enhancement of capsule, solid part of nodular enhancement, dead zone of no enhancement of cyst, 27 time density curves of enhancement were efflux, 6 benign nodules could not accurately measure CT value because of more cystic part and less solid part. It was impossible to type, 4 nodules appeared calcification, the shape of them were speckled, nodular, annular coarse calcification, one case of thyroid multiple nodule had the same appearance in neck 鈪，

本文編號(hào)：1652836