甲状腺结节的CT与超声诊断比较研究

Comparative study between CT and ultrasonography diagnosis of thyroid nodules

目的:探讨CT和超声在甲状腺结节中的诊断价值,提高对甲状腺疾病的诊断正确率。方法:对89例甲状腺结节患者进行CT与超声诊断比较分析。结果:CT与超声对甲状腺结节诊断符合率没有显著性差异(P>0.05),CT与超声联合诊断的符合率与超声有显著性差异(P<0.05)。超声对结节或肿块数目的检出和对结节的囊性和实性的鉴别优于CT(P<0.05);CT对结节的边界是否清楚,是否连续完整以及与周围组织关系的判断优于超声(P<0.05),且CT对结节内微小钙化和颈部淋巴结转移情况的发现有较高价值。结论:CT与超声联合是有效提高甲状腺结节诊断准确率的良好方法。超声对结节数目的检出具有很高的敏感性,是甲状腺结节的首选影像学检查方法。

Objective: To discuss the diagnostic value of CT and ultrasonography(US) in thyroid nodules,and to improve the diagnostic accurate rate.Methods: CT and US of 89 cases in thyroid nodules were analyzed.Result: This study shows that there is no significant difference between the diagnostic accuracy of CT and US(P>0.05).There were statistic significance between the diagnostic accuracy of both(CT and US) and US(P<0.05).US in the aspect of detecting the number of nodules and distinguishing between cyst and ...