论文部分内容阅读
目的:回顾分析甲状腺核素显像在颈前区包块鉴别诊断中的临床价值。方法:对69例耳鼻咽喉科门诊首诊发现颈前区来源不明包块的患者行过锝酸盐(99mTcO4-)显像,根据结果选择行99mTc-甲氧基异丁基异腈(99mTc-MIBI)肿瘤阳性显像和甲状腺灌注显像。显像结果结合随访及病理诊断结果进行分析。结果:69例中33例(47.8%)包块位于甲状腺内,36例(52.2%)包块位于甲状腺外。甲状腺包块中发现亚急性甲状腺炎12例,2例临床诊断为甲状舌管囊肿者发现为异位甲状腺;甲状腺外包块中甲状舌管囊肿27例。结论:甲状腺包块的99mTcO4-、99mTc-MIBI阳性显像及血流灌注显像对于鉴别诊断颈前区病变是否来源于甲状腺及甲状舌管囊肿与异位甲状腺的鉴别具有良好的应用价值。
Objective: To retrospectively analyze the clinical value of thyroid radionuclide imaging in differential diagnosis of anterior cervical mass. Methods: 99mTc-MIBI (99mTc-MIBI) was selected according to the results of 99mTcO4- imaging in 69 cases of otolaryngology clinics. Tumor positive imaging and thyroid perfusion imaging. Imaging results combined with follow-up and pathological diagnosis results were analyzed. Results: Of the 69 cases, 33 (47.8%) masses were located in the thyroid, and 36 (52.2%) masses were located outside the thyroid. Thyroid mass was found in 12 cases of subacute thyroiditis, 2 cases of clinical diagnosis of thyroglossal cyst were found to be ectopic thyroid; Thyroidectoid thyroglossal cyst in 27 cases. Conclusion: 99mTcO4-, 99mTc-MIBI positive imaging and perfusion imaging of thyroid mass have a good value in the differential diagnosis of thyroid gland, thyroglossal cyst and ectopic thyroid gland.