摘要
目的:研究CT增强在甲状腺腺瘤和甲状腺癌鉴别诊断中的价值。方法:回顾性分析齐齐哈尔市中医医院2019年1月-2020年2月经病理学检测诊断为甲状腺腺瘤与甲状腺癌患者32例,均给予CT增强扫描,观察CT增强扫描确诊率及对病灶检查的结果。结果:采用CT增强扫描确诊率为100.00%,甲状腺腺瘤与甲状腺癌患者均为单发结节性病变,病变位置及钙化情况无对比差异(P>0.05);甲状腺腺瘤患者结节大小、CT增强特征、钙化位置、钙化形态、病灶边缘及包膜情况、对周围组织侵犯情况等与甲状腺癌患者有明显差异(P<0.05)。结论:CT增强对甲状腺腺瘤和甲状腺癌的鉴别诊断率极高,为临床诊断、治疗及预后提供可靠依据。
Objective:To study the value of CT enhancement in the differential diagnosis of thyroid adenoma and thyroid cancer.Methods:A retrospective analysis was performed on 32 patients diagnosed with thyroid adenoma and thyroid cancer by pathological examination in Qiqihar Hospital of Traditional Chinese Medicine from January 2019 to February2020.All patients were given enhanced CT scan,and the diagnosis rate of enhanced CT scan and the results of lesion examination were observed.Results:The diagnostic rate of enhanced CT scan was 100.00%.Both thyroid adenoma and thyroid cancer patients had single nodular lesions,and there was no difference in lesion location and calcification(P>0.05).There were significant differences between thyroid adenoma patients and thyroi d cancer patients in nodule size,CT enhancement characteristics,calcification location,calcification morphology,lesion edge and capsule,and invasion of surrounding tissues(P<0.05).Conclusion:CT enhancement can differentiate thyroid adenoma from thyroid cancer with high diagno stic rate,providing reliable basis for clinical diagno sis,treatment and progno sis.
作者
张长柱
马献武
李强
潘家琦
王莹
ZHANG Chang-zhu;MA Xian-wu;LI Qiang;PAN Jia-qi;WANG Ying(Image Center of Qiqihar Hospital of Traditional Chinese Medicine)
出处
《中国标准化》
2022年第12期205-207,共3页
China Standardization
关键词
CT增强
甲状腺腺瘤
甲状腺癌
鉴别诊断
CT enhancement
thyroid adenoma
thyroid cancer
differential diagnosis
作者简介
张长柱,硕士研究生,副主任医师,研究方向为甲状腺及肺结节影像分析。
