摘要
目的探讨多排螺旋CT及多平面重建技术(MPR)在甲状腺乳头状癌中的应用以及它的诊断价值。方法选取本院2012年3月—2016年6月收治的甲状腺乳头状癌(papillary thyroid carcinoma,PTC)患者共48例作为研究对象。回顾性分析48例经手术病理证实为甲状腺乳头状癌的螺旋CT表现,均做了CT双期增强及多平面重建。分析多层螺旋CT对于甲状腺乳头状癌定性中的作用、对于颈部淋巴结转移以及甲状腺肿块是否侵犯周围结构的诊断效果。结果 48例病例中,单发38例,多发10例,增强后出现瘤周"半岛状"有18例,镶嵌征有20例;病灶内可见钙化有19例,其中沙粒样钙化有12例;伴颈部淋巴结转移有25例。结论多层螺旋CT检查对甲状腺乳头状癌的定性诊断有重要意义,并且能较好的观察甲状腺肿块有无侵犯周围结构,颈部有无淋巴结转移,为临床的分期及治疗提供重要依据。
Objective Investigate the application of multi-slice spiral CT and multiplanar reconstruction(MPR)in papillary thyroid carcinoma(PTC) and its diagnostic value. Methods A total of 48 cases of thyroid papillary carcinoma received from our hospital from March 2012 to June 2016 were studied.retrospectively analyzethe spiral CT findings of 48 cases of papillary thyroid carcinoma confirmed through operation and pathology and perform the both CT dual-phase enhancement and multiplanar reconstruction.Analysis of the role of multislice spiral CT in the qualitative determination of thyroid papillary carcinoma,the diagnosis of cervical lymph node metastasis and the invasion of the surrounding structures. Results Among the 48 cases,38 were single,10 multiple,18 peritumoral peninsular after enhancement,and 20 mosaic. Calcification was found in 19 cases,including 12 cases of sand-like calcification. There were 25 cases with cervical lymph node metastasis. Conclusion Multi-slice spiral CT examination is of great significance for the qualitative diagnosis of papillary thyroid carcinoma,and can better observe whether the thyroid mass has invaded the surrounding structure,neck lymph node metastasis,and provide an important basis for clinical staging and treatment.
出处
《大医生》
2017年第10期8-9,共2页
Doctor
