[1]窦益腾,朱新进,夏俊,等. 64排螺旋CT对结节性甲状腺肿的诊断价值[J].中国医学物理学杂志,2018,35(3):303-306.[doi:DOI:10.3969/j.issn.1005-202X.2018.03.011]
　DOU Yiteng,ZHU Xinjin,XIA Jun,et al. Diagnostic value of 64-slice spiral CT for nodular goiter[J].Chinese Journal of Medical Physics,2018,35(3):303-306.[doi:DOI:10.3969/j.issn.1005-202X.2018.03.011]
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 64排螺旋CT对结节性甲状腺肿的诊断价值()
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《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]

卷:
35卷
期数:
2018年第3期
页码:
303-306
栏目:
医学影像物理
出版日期:
2018-03-20

文章信息/Info

Title:
 Diagnostic value of 64-slice spiral CT for nodular goiter
文章编号:
1005-202X（2018）03-0303-04
作者:
 窦益腾1; 朱新进2; 夏俊1; 黄玉娃2; 陈丽贤2
 1.广东医科大学， 广东 湛江 524001； 2.佛山市第二人民医院影像中心， 广东 佛山 528000
Author(s):
 DOU Yiteng1;  ZHU Xinjin2;  XIA Jun1;  HUANG Yuwa2;  CHEN Lixian2
 1. Guangdong Medical University, Zhanjiang 524001, China; 2. Imaging Center, the Second People’s Hospital of Foshan, Foshan 528000, China
关键词:
 ; 结节性甲状腺肿; 腺瘤; 病理学; 电子计算机断层扫描
Keywords:
nodular goiter;  adenoma;  pathology;  computed tomography
分类号:
R445.3
DOI:
DOI:10.3969/j.issn.1005-202X.2018.03.011
文献标志码:
A
摘要:
 目的：观察结节性甲状腺肿的CT表现，探讨64排螺旋CT对结节性甲状腺肿的诊断价值。 方法：回顾性分析53例经手术病理证实的结节性甲状腺肿患者的CT表现，并与病理结果对照分析。 结果：53例结节性甲状腺肿患者，平扫及增强结节密度均低于正常甲状腺组织密度，其中囊实性病灶45例，囊性病灶6例，实性病灶2例。根据病灶的分布，亦可分为局限型（单发15例，多发21例）和弥漫型（单叶7例，双叶10例），12例病灶内出现钙化，2例病灶体积过大延伸至纵膈。 结论：64排螺旋CT对于结节性甲状腺肿的诊断具有一定价值，并且能评价结节与周围组织的关系，但是如果病灶是单发结节，与腺瘤的鉴别则具有一定难度。
Abstract:
Objective To observe the spiral CT features of nodular goiter, and explore the feasibility of improving the diagnostic accuracy of nodular goiter by 64-slice spiral CT diagnosis. Methods CT findings in 53 patients with nodular goiters confirmed by operation and pathology were retrospectively analyzed and compared with pathological findings. Results Compared with normal controls, 53 patients had lower thyroid tissue density both on plain and enhanced CT scans. Among 53 patients, 45 patients developed with mixed cystic-solid nodules, 6 with cystic nodules and 2 with solid nodules. According to the distribution of focus, cases were divided into localized type (15 cases of single nodular goiter and 21 of multinodular goiters) and diffuse type (7 cases of one side and 10 of both two sides). Twelve cases of nodular goiters appeared calcification. In 2 cases, the focuses were too large to extend to the mediastinum. Conclusion The 64-slice spiral CT has certain values for diagnosing nodular goiter and evaluating the relationship between nodules and the surrounding tissues. However, the differential diagnosis of nodular goiter and thyroid adenoma remains challenge if the focus is signal nodular goiter.

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备注/Memo

备注/Memo:
 【收稿日期】2017-11-18
【基金项目】佛山市科技计划项目（2015AB00381）
【作者简介】窦益腾，硕士研究生，研究方向：影像医学与核医学，E-mail: 849798275@qq.com
【通信作者】朱新进，主任医师，研究方向：影像医学与核医学，E-mail: zxinjin@163.com
更新日期/Last Update: 2018-03-21