核素显像鉴别颈前区包块来源的临床价值

Clinical value of radionuclide imaging in differentiate the origin of cervical mass

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 study the clinical value of thyroid imaging in differentiate the origin cervical mass.Method:Sixty-nine patients with cervical mass were subjected to ~ 99m Tc-pertechnetate imaging. ~ 99m Tc-MIBI hot spot imaging and perfusion imaging were performed in some of patients with cold or cool nodules. The findings of thyroid imaging were compared with follow up and histopathologic results.Result:Tirty-three of 69 patients were found with thyroid nodules, 36 patients mass were outside thyroid. Twelve...