| 甲状腺癌CT、B超诊断与病理诊断对照分析研究 |
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| 引用本文： | 钟红,马斌林,柳丽莎,杜江,玉素甫.甲状腺癌CT、B超诊断与病理诊断对照分析研究[J].实用肿瘤杂志,2010,25(6):671-673. |
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| 作者姓名： | 钟红 马斌林 柳丽莎 杜江 玉素甫 |
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| 作者单位： | 新疆医科大学附属肿瘤医院乳腺头颈外科,新疆乌鲁木齐830011 |
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| 摘 要： | 目的探讨CT、B超检查对甲状腺癌的诊断意义。方法回顾性分析286例甲状腺癌的螺旋CT、彩色B超的影像学资料,与病理诊断作对照分析。结果对于病灶直径≤1.0 cm的82例甲状腺微小癌B超诊断符合率为76.8%（63/82）,CT的诊断符合率为31.7%（26/82）,两者比较差异有统计学意义（P〈0.005）,而对于病灶直径≥1.0 cm的204例甲状腺癌B超诊断符合率为79.4%（162/204）,CT的诊断符合率为84.8%（173/204）,两者比较差异无统计学意义（P〉0.05）。结论彩色B超是目前诊断甲状腺微小癌最有效的检查方法 ,对于病灶≥1.0 cm的甲状腺癌,B超和CT检查均是阳性诊断率高的检查方法 。
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| 关 键 词： | 甲状腺肿瘤/放射摄影术 甲状腺肿瘤/病理学 甲状腺肿瘤/超声检查 体层摄影术 螺旋计算机 |
B-ultrasonography and CT imaging in diagnosis of thyroid carcinoma |
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| Institution: | ZHONG Hong,LIU Li-sha,MA Bin-lin,et al(Department of Breast and Head-Neck Surgery,Affiliated Tumor Hospital,Xinjiang Medical University,Urumqi,830011,China) |
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| Abstract: | Objective To examine the diagnostic value of B-ultrasonography and CT imaging for thyroid carcinoma.Methods B-ultrasonography and CT image results were retrospectively reviewed in 286 cases of thyroid carcinoma;using pathological results as gold standard,the diagnostic value of ultrasonography and CT imaging was examined.Results The sensitivity of B-ultrasonography and CT scan for diagnosis of thyroid carcinoma was 76.8%（63/82） and 31.7%（26/82）,respectively（P0.005）;if the diameter of tumor ≥1 cm,the sensitivity of B-ultrasonography and CT scan was 79.4%（162/204） and 84.8%（173/204）（P0.05）.Conclusion B-ultrasonography is more sensitive than CT scan in diagnosis of micro thyroid carcinoma. |
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| Keywords: | thyroid neoplasms/radiography thyroid neoplasms/pathology thyroid neoplasms/ultrasonography tomography spiral computed |
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