论文部分内容阅读
目的 探讨CT检查在甲状腺疾病诊治中的价值。方法 回顾性分析经临床穿刺活检及手术病理证实的 61例甲状腺病变的CT表现。结果 ①甲状腺炎性病变 9例 ,弥漫性改变 5例 ,其中 3例伴肿大 ;4例局限于一叶肿大伴局灶性病变 ,钙化 1例。②增生性病变 2 8例 ,Graves病 2例 ,为弥漫性改变并肿大。结节性增生 2 6例。并钙化 8例 ;囊变 14例。③甲状腺肿瘤 :腺瘤 14例 ,单发 13例 ,多发 1例。 10例有囊变 ,4例伴钙化。所有瘤灶均有强化完整包膜。甲状腺癌 10例 ,其中 3例囊变 ,7例钙化。CT发现颈淋巴结转移 7例 ,转移的淋巴结内钙化、囊变 ,囊变内壁有结节 ,淋巴结明显强化。结论 对甲状腺疾病的检查方法强调CT平扫加增强扫描。诊断中强调综合分析。甲状腺的CT影像对临床治疗和预后估计都有指导意义
Objective To investigate the value of CT examination in the diagnosis and treatment of thyroid diseases. Methods The CT findings of 61 thyroid lesions confirmed by clinical biopsy and surgical pathology were retrospectively analyzed. Results ① Thyroid inflammation in 9 cases, diffuse changes in 5 cases, of which 3 cases with enlargement; 4 cases limited to a large cyst with focal lesions, calcification in 1 case. ② proliferative lesions in 28 cases, 2 cases of Graves disease, diffuse changes and enlargement. Nodular hyperplasia 26 cases. And calcification in 8 cases; cystic change in 14 cases. Thyroid tumor: adenoma in 14 cases, 13 cases of single, multiple in 1 case. 10 cases had cystic change, 4 cases with calcification. All tumor lesions have a complete enhancement of the envelope. Thyroid cancer in 10 cases, of which 3 cases of cystic change, 7 cases of calcification. CT found cervical lymph node metastasis in 7 cases, metastasis of lymph nodes within the calcification, cystic degeneration, cystic nodules inside the wall, significantly enhanced lymph nodes. Conclusion The examination of thyroid disease emphasizes CT scan and contrast scan. The diagnosis emphasizes a comprehensive analysis. Thyroid CT images for clinical treatment and prognosis are of guiding significance