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甲状腺结节性病变的CT鉴别诊断
引用本文:舒荣宝,程刘兵,罗潇. 甲状腺结节性病变的CT鉴别诊断[J]. 安徽医学, 2010, 31(6): 568-571. DOI: 10.3969/j.issn.1000-0399.2010.06.006
作者姓名:舒荣宝  程刘兵  罗潇
作者单位:马鞍山市市立医疗集团市人民医院影像科,243000
摘    要:目的分析常见甲状腺结节性病变的CT表现,探讨CT对其诊断和鉴别诊断价值。方法回顾性分析经手术病理证实的甲状腺结节性病变78例,评估内容包括结节数目、大小、密度、轮廓、钙化、强化,以及腺体体积、颈部淋巴结和周围侵犯等情况。结果本组78例,单发结节37例,多发结节41例;其中结节性甲状腺肿40例,甲状腺腺瘤22例,甲状腺癌16例。结节性甲状腺肿、甲状腺腺瘤及甲状腺癌的结节大小、密度等差异无统计学意义(P〉0.05)。结节数目、轮廓、钙化、边缘强化,以及腺体体积、密度、增大淋巴结和周围间隙改变等差异有统计学意义(P〈0.05)。结论掌握各种甲状腺结节性病变的CT特点及腺体与周围结构关系和颈部淋巴结情况,对甲状腺结节病变的鉴别诊断具有一定的价值。

关 键 词:甲状腺结节  体层摄影术  X线计算机  诊断

CT differential diagnosis of thyroid nodules
Shu Rongbao,Cheng Liubing,Luo Xiao. CT differential diagnosis of thyroid nodules[J]. Anhui Medical Journal, 2010, 31(6): 568-571. DOI: 10.3969/j.issn.1000-0399.2010.06.006
Authors:Shu Rongbao  Cheng Liubing  Luo Xiao
Affiliation:Shu Rongbao,Cheng Liubing,Luo Xiao Department of Medical Imaging,the People,s Hospital of Maanshan Municipal Hospital Group,Maanshan 243000 China
Abstract:Objective To analyze the CT features of common thyroid nodules and to evaluate the value of CT application in identification and diagnosis.Methods Analyzed retrospectively 78 cases confirmed by surgery and pathology,including the number,size,density,shape calcification,enhancement of the nodus,the volume of the gland,the lymph node of neck,and the situation of the invaded area.Results For 78 thyroid nodules cases,solitary nodus was detected in 37 cases,and multiple nodus in another 41 cases.nodular goiter(4...
Keywords:Thyroid  nodule  Tomography  X-ray computed  Diagnosis  
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