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螺旋CT对甲状腺癌的诊断价值
引用本文:林纯钧,姚沛旭,周旭文,许建生.螺旋CT对甲状腺癌的诊断价值[J].实用医技杂志,2006,13(13).
作者姓名:林纯钧  姚沛旭  周旭文  许建生
作者单位:1. 惠来县慈云中医院,广东,惠来,515200
2. 揭阳市人民医院,广东,揭阳,522000
3. 揭阳市中医院,广东,揭阳,522000
摘    要:目的:评价螺旋CT对甲状腺癌的诊断价值。方法:回顾性分析89例经手术和病理证实的甲状腺癌的螺旋CT资料。结果:89例甲状腺癌的主要CT表现为密度不均88例,边界不清68例,不规则坏死67例,囊性变39例,瘤周出现“半岛状”强化结节25例,囊壁“乳头状”强化结节9例,钙化55例,增强强化不均73例,CT判断甲状腺癌侵犯气管、食管、颈动脉鞘和颈部或锁骨上淋巴结肿大转移分别为:29例、21例、16例和26例,手术证实分别为:26例,17例、14例和26例。CT对甲状腺癌诊断正确率94.4%(84/89)。结论:CT对甲状腺癌的诊断可靠,能发现甲状腺癌外侵与否,能帮助临床术前分期,CT检查是必要的。

关 键 词:甲状腺  肿瘤  X线计算机  断层摄影术

The Value of Spiral CT on Thyroid Carcinoma Diagnosis
LIN Chun-jun,YAO Pei-xu,ZHOU Xu-wen,et al.The Value of Spiral CT on Thyroid Carcinoma Diagnosis[J].Journal of Practical Medical Techniques,2006,13(13).
Authors:LIN Chun-jun  YAO Pei-xu  ZHOU Xu-wen  
Institution:LIN Chun-jun~1,YAO Pei-xu~2,ZHOU Xu-wen~3,et al
Abstract:Objective To evaluate the value of spiral CT scan on diagnosis the carcinoma of thyroid.Methods Spiral CT findings on 89 cases of thyroid carcinoma with the surgical-pathological were analysed retrospectivily.Results The CT findings in 89 cases of thyroid carcinoma were:inhomogeneous density(n=88),vague margin(n=68),abnormity necrosis(n=67),cystic changes(n=39),“peninsula” enhancing tubercles around the tumour(n=25),“mastoid” tubercles around the tumour(n=9),calcification(n=55),inhomogeneity enhanced(n=73).The thyroid carcinoma invaded the trathea(n=29),esophageal(n=21),carotid sheath(n=16),lymphadenopathy(n=26) according to CT compared with n=26,n=17,n=14 and n=26 according to surgical-pathological.The accuracy of thyroid carcinoma diagnosis by CT were 94.4%(84/89).Conclusion Spiral CT scan examination on thyroid carcinoma and estimate it's extra-thyroid invasion were credible.CT are the important methods in evaluating the stage of thyroid carcinoma preoperation.CT scan was useful for thyroid carcinoma peroperation.
Keywords:Thyroidtumour  X-ray computed  Tomographydiagnosis
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