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彩色多普勒超声与99mTc-MIBI对甲状腺冷结节性质的比较研究
引用本文:徐晓红,杨健,苏敏,刘锋,萧亚景,唐静. 彩色多普勒超声与99mTc-MIBI对甲状腺冷结节性质的比较研究[J]. 中国实验诊断学, 2006, 10(6): 604-606
作者姓名:徐晓红  杨健  苏敏  刘锋  萧亚景  唐静
作者单位:1. 广东医学院附属医院,超声科,广东,湛江,524001
2. 广东医学院附属医院,核医学科,广东,湛江,524001
摘    要:目的目的:探讨彩色多普勒超声(CDFI)与99m^Tc-MIBI显像对甲状腺“冷”结节良恶性的诊断价值。方法对99m^Tco4^-显像提示为“冷”结节的182例患者,次日行99m^Tc-MIBI显像及CDFI检查,所有病例均经手术病理证实。结果99m^Tc-MIBI和CDFI诊断甲状腺癌的敏感度、特异度、准确率分别为69.8%和86.8%,88.4%和91.5%,83.0%和90.1%;两者联合应用时,甲状腺癌诊断的敏感度、特异度、准确率分别达到90.6%、95.3%、94.0%。结论CDFI结合99m^Tc-MIBI显像对鉴别甲状腺“冷”结节的良恶性具有较大的临床应用价值。

关 键 词:甲状腺癌  放射性核素显像  彩色多普勒超声
文章编号:1007-4287(2006)06-0604-03
收稿时间:2005-08-19
修稿时间:2005-08-19

Comparison of color doppler ultrasonography with 99mTc-MIBI in cold nodules of thyroids
XU Xiao-hong, YAN Jian, SU Min, at al.. Comparison of color doppler ultrasonography with 99mTc-MIBI in cold nodules of thyroids[J]. Chinese Journal of Laboratory Diagnosis, 2006, 10(6): 604-606
Authors:XU Xiao-hong   YAN Jian   SU Min   at al.
Abstract:Objective To study the diagnostic role of color Doppler flow imaging(CDFI) and ~(99m) Tc-MIBI in cold nodules of thyroids.Methods CDFI and ~(99m) Tc-MIBI were used to determine the cold nodules of thyroids in 182 patients undergoing ~(99m) TcO~-_4 imaging.All patients underwent surgery and pathological examination.Results The sensitivity,specificity and accuracy in the evaluation of malignant thyroid nodules were 69.8%,88.4% and 83.0% by ~(99m) Tc-MIBI,and 86.8%,91.5% and 90.1% by CDFI,and 90.6%,95.3% and 94.0% by CDFI and ~(99m) Tc-MIBI,respectively.Conclusion The combined application of CDFI and ~(99m) Tc-MIBI is more valuable in the judgment of malignancy of cold nodules of thyroids.
Keywords:99mTc-MIBI
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