| 结节性甲状腺肿和甲状腺癌的CT鉴别诊断 |
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| 引用本文： | 卞志方,韩国哲. 结节性甲状腺肿和甲状腺癌的CT鉴别诊断[J]. 当代医学, 2019, 25(18): 40-42 |
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| 作者姓名： | 卞志方 韩国哲 |
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| 作者单位： | 莱芜钢铁集团有限公司医院影像科,山东 莱芜,271100;莱芜钢铁集团有限公司医院麻醉科,山东 莱芜,271100 |
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| 摘 要： | 目的探讨采用CT诊断结节性甲状腺肿与甲状腺癌的图像特征对比,总结两者CT的鉴别诊断经验。方法选取本院接诊的54例结节性甲状腺肿与42例甲状腺癌,运用16层螺旋CT对其行平扫和增强扫描,观察两组患者CT诊断图像特征、平扫值与增强扫描值。结果甲状腺癌与结节性甲状腺肿CT图像中,根据CT图像对比来看,甲状腺癌单发占66.67%,结节性甲状腺肿多发占61.11%;甲状腺癌形态不规则占78.57%,结节性甲状腺肿形态规则占98.15%;甲状腺癌边界不清晰占76.19%,结节性甲状腺肿边界清晰占98.15%;甲状腺癌钙化占47.62%,结节性甲状腺肿钙化占12.96%;甲状腺癌晕环占33.33%,结节性甲状腺肿晕环占9.26%;甲状腺癌内部不均匀占88.10%,结节性甲状腺肿内部均匀占40.74%。数量、形态、边界、晕环、钙化、内部均匀性均有明显特征,且对比差异有统计学意义(P<0.05);甲状腺癌与结节性甲状腺肿平扫值、增强扫描值以及两者之间的差值比较,差异均无统计学意义。结论采用CT行结节性甲状腺肿与甲状腺癌诊断,根据其特征能够实现有效鉴别,但仍然需要做好严谨仔细。
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| 关 键 词： | CT 结节性甲状腺肿 甲状腺癌 鉴别诊断 |
CT differential diagnosis of nodular goiter and thyroid carcinoma |
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| Bian Zhifang,Han Guozhe. CT differential diagnosis of nodular goiter and thyroid carcinoma[J]. Contemporary Medicine, 2019, 25(18): 40-42 |
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| Authors: | Bian Zhifang Han Guozhe |
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| Affiliation: | (Hospital imaging department, laiwu iron and steel group co, LTD, Laiwu, Shandong, 271100, China;Department ofanesthesiology, hospital of laiwu iron and steel group co, LTD, Laiwu, Shandong, 271100, China) |
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| Abstract: | Bian Zhifang;Han Guozhe(Hospital imaging department, laiwu iron and steel group co, LTD, Laiwu, Shandong, 271100, China;Department ofanesthesiology, hospital of laiwu iron and steel group co, LTD, Laiwu, Shandong, 271100, China) |
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| Keywords: | CT Nodular goiter Thyroid carcinoma Differential diagnosis |
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