CT环状钙化在甲状腺良恶性结节诊断和鉴别诊断中的价值

doi:10.3969/j.issn.1006-6233.2018.05.012

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (1286 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要 目的:探究CT环状钙化在甲状腺良恶性结节诊断和鉴别诊断中的价值,为临床诊断甲状腺良恶性结节提供指导。方法:以2016年8月12日至2017年8月25日来我院接受救治的56例甲状腺结节患者(均经手术病理证实)作为观察对象,对56例甲状腺结节患者均实施CT诊断,以手术病理结果为诊断金标准,并将CT诊断结果和手术病理检查结果进行比较,研究对比CT环状钙化在甲状腺良恶性结节诊断和鉴别诊断中的价值。结果:CT对甲状腺良恶性结节的诊断敏感度、特异度、准确度分别为94.87%、88.24%、92.86%,将诊断结果和手术病理诊断结果进行比较发现,两者差异无统计学意义,P>0.05;甲状腺良性结节和甲状腺恶性结节之间的增强后边缘清晰、高强化结果存在统计学意义,P<0.05。结论:CT环状钙化对诊断甲状腺良恶性结节具有较显著的效果,敏感度、特异度以及准确度均较高,值得各医疗机构推广应用。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章

关键词 ： CT, 环状钙化, 甲状腺, 良恶性结节

Abstract：Objective: To explore CT annular calcification in the value of diagnosis and differential diagnosis of benign and malignant thyroid nodules, and provide guidance for clinical diagnosis of benign and malignant thyroid nodules. Methods: From August 12, 2016 to August 25, 2017, 56 cases of thyroid nodules treated in our hospital were confirmed by surgery and pathology. 56 cases of thyroid nodules were diagnosed by CT. The operative pathology results were the gold standard for diagnosis. The results of CT diagnosis and surgical pathology were compared. The value of CT annular calcification in diagnosis and differential diagnosis of benign and malignant thyroid nodules were compared. Results: The sensitivity, specificity and accuracy of CT in the diagnosis of benign and malignant thyroid nodules were 94.87%, 88.24% and 92.86% respectively. Comparing the diagnostic results with the results of pathological diagnosis, there was no significant difference between the two groups (P>0.05). There was a significant difference between enhanced thyroid nodules and thyroid nodules with enhanced margins and high enhancement results (P<0.05). Conclusion: CT cyclic calcification has a significant effect on the diagnosis of thyroid benign and malignant nodules, with high sensitivity, specificity and accuracy, which is worthy of the application and promotion of various medical institutions.

Key words： CT Annular calcification The thyroid gland

基金资助:2014湖北省中医院院内课题项目,(编号:2014JX6A03)

引用本文:

陈丹丹, 王婷. CT环状钙化在甲状腺良恶性结节诊断和鉴别诊断中的价值[J]. 河北医学, 2018, 24(5): 749-751.
CHEN Dandan. The Value of CT Annular Calcification in Diagnosis and Differential Diagnosis of Benign and Malignant Thyroid Nodules. HeBei Med, 2018, 24(5): 749-751.

链接本文:

http://www.hbyxzzs.cn/CN/10.3969/j.issn.1006-6233.2018.05.012 或 http://www.hbyxzzs.cn/CN/Y2018/V24/I5/749

[1] Qu N,Zhang L,Lu Z W,et al.Risk of malignancy in focal thyroid lesions identified by 18F-fluorodeoxyglucose positron emission tomography or positron emission tomography/computed tomography: Evidence from a large series of studies[J].Tumour biology: the journal of the International Society for Oncodevelopmental Biology and Medicine,2014,35(6):6139~6147.
[2] 杨海,韩志江,雷志锴,等.CT钙化分型对甲状腺良、恶性结节的诊断价值[J].中国临床医学影像杂志,2015,26(12):861~863.
[3] Lesnik D,Cunnane M E,Zurakowski D,et al.Papillary thyroid carcinoma nodal surgery directed by a preoperative radiographic map utilizing CT scan and ultrasound in all primary and reoperative patients[J].Head and neck: Journal for the sciences and specialities of the head and neck,2014,36(2):191~202.
[4] 李进叶,宋歌声,宋吉清,等.宝石能谱CT与常规超声对甲状腺结节良恶性诊断价值的对照分析[J].山东大学学报(医学版),2016,54(3):81~86.
[5] 薛龙梅,潘自兵,张志远,等.CT能谱成像在鉴别甲状腺良恶性结节中的应用价值[J].中国医学影像学杂志,2014,22(12):908~911.
[6] Chatziioannou S N,Georgakopoulos A T,Pianou N K,et al.Recurrent thyroid cancer diagnosis. ROC study of the effect of a high-resolution head and neck 18F-FDG PET/CT scan.[J].Academic radiology,2014,21(1):58~63.
[7] 岳新建.能谱CT诊断甲状腺良恶性结节的临床应用[J].中国中西医结合影像学杂志,2015,13(5):552~553.
[8] 陈育.CT联合高分辨率超声在甲状腺良恶性结节诊断中的应用效果[J].社区医学杂志,2016,14(6):25~27.
[9] 曹红岩.双源CT双能量碘图鉴别甲状腺良恶性结节临床价值[J].临床医药文献电子杂志,2016,3(34):6875.
[10] 韩志江,陈文辉,项晶晶,等.CT环状钙化鉴别甲状腺结节良恶性的价值[J].中华放射学杂志,2014,48(4):275~278.