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甲状腺结节性病变的64层螺旋CT诊断
引用本文:罗敏,姜萍,李华莉,吴华曦. 甲状腺结节性病变的64层螺旋CT诊断[J]. 川北医学院学报, 2010, 25(3): 266-268. DOI: 10.3969/j.issn.1005-3697.2010.03.023
作者姓名:罗敏  姜萍  李华莉  吴华曦
作者单位:自贡市第四人民医院CT室,四川,自贡643000;自贡市第四人民医院CT室,四川,自贡643000;自贡市第四人民医院CT室,四川,自贡643000;自贡市第四人民医院CT室,四川,自贡643000
摘    要:目的:探讨64层螺旋CT在甲状腺结节性病变诊断中的价值。方法:回顾性分析经手术病理证实的甲状腺结节性病变44例。所有病例均接受CT检查,包括平扫、动脉期(35S)、静脉期(50S)扫描。结果:CT对甲状腺腺瘤诊断符合率为67%,对结节性甲状腺肿诊断符合率为70%,对甲状腺癌诊断符合率为69%。结论:64层螺旋CT增强扫描对于甲状腺良、恶性病变的鉴别诊断有一定的参考价值。

关 键 词:甲状腺结节性病变  64层螺旋CT  诊断

64-slice Spiral CT Diagnosis of Thyroid Nodules
LUO Min,JIANG Ping,LI Hua-li,WU Hua-xi. 64-slice Spiral CT Diagnosis of Thyroid Nodules[J]. Journal of North Sichuan Medical College, 2010, 25(3): 266-268. DOI: 10.3969/j.issn.1005-3697.2010.03.023
Authors:LUO Min  JIANG Ping  LI Hua-li  WU Hua-xi
Affiliation:(CT Department of the Fourth People's Hospital of Zigong,Zigong,Sichuan 643000)
Abstract:Objective:To investigate the value of 64-slices helical CT in diagnosis of thyroid nodules. Methods:44 cases with thyroid nodules proved surgically and pathologically were retrospectively analyzed. Before operations,all cases underwent CT examinations,including plain and contrast enhanced scanning in which arterial phase was done with the delay time of 35 seconds and venous phase 50 seconds after the beginning of contrast medium injection. Results:The diagnosis accordance rate of CT was 67% in thyroid adenoma,70% in struma nodosa and 69% in struma maligna. Conclusion:64-slices helical CT was helpful to differentiate the malignant from the benign thyroid nodules according to the enhancement pattern and extent during the contrast enhancement examination.
Keywords:Thyroid nodules  64-slices helical CT  Diagnosis
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