多层螺旋CT诊断甲状腺肿瘤的应用价值(附32例分析)

The value of multi-slice spiral CT in the diagnosis of thyroid neoplasm(analysis of 32 cases)

目的:探讨螺旋CT对甲状腺肿瘤的诊断价值。方法:回顾性分析32例经手术和病理证实的甲状腺肿瘤的CT资料。结果:32例甲状腺肿瘤的主要CT表现为密度不均22例,边界不清19例,不规则坏死15例,囊性变12例,CT判断甲状腺肿瘤侵犯气管、食管、颈动脉鞘和颈部或锁骨上淋巴结肿大转移分别为:14例、6例、5例和8例。结论:螺旋CT对甲状腺肿瘤的诊断可靠,不仅能鉴别肿瘤良恶性改变,还可发现甲状腺肿瘤外侵与否,帮助临床术前分期,制定治疗方案。

Objective： To evaluate the value of spiral CT scan on the diagnosis of thyroid neoplasm. Methods： 32 cases of thyroid neoplasm proved by operation and pathology were retrospectively analyzed. Results：In 32 cases of thyroid neoplasm, there were 22 cases with uneven density, 19 cases with unclear border, 15 cases with irregular necrosis and 12 cases with cystisc degeneration. CT scan showed that the cases of invasion of trachea, esophagus, carotid sheath and swollen lymph nodes of neck and supraclavicle were 14,6, 5 and 8 respectively. Conclusion： Spiral CT scan is an effective method in diagnosis of thyroid neoplasm. Spiral CT scan not only helps to identify benign or malignant tumors, but also helps to find whether thyroid neoplasm invades the surrounding tissue, provide clinical classification preoperatively and make strategies.