结节性甲状腺肿的CT图像分析

Analysis of CT Imaging of Struma Nodosa

目的分析结节性甲状腺肿的CT图像特点,提高甲状腺结节的诊断率。方法选择该院2010年6月—2015年12月间收治的40例结节性甲状腺肿患者(均经手术病理证实)的CT图像进行分析。结果 40例结节性甲状腺肿平扫表现为甲状腺肿大,35例病灶边缘尙清,多发结节30例,单发结节10例,病灶呈类圆形30例,不规则形10例。10例病灶伴钙化呈斑点状、斑块状或环形。伴囊性变14例,伴纤维化8例,伴出血2例,气管受压6例。3例增强扫描实性成分强化,伴囊性变病灶内囊性成分无强化。结论 CT扫描在结节性甲状腺肿的诊断中具有一定的价值。

Objective To analyze the CT imaging features of struma nodosa and improve the diagnosis rate of thyroid nodule. Methods The CT imaging of 40 cases of patients with struma nodosa from June 2010 to December 2015（all were confirmed byoperation and pathology） was analyzed. Results In the 40 cases with struma nodosa,, plain CT scan displayed thyromegaly, the boundary of tumors displaying more clearly occurred to 35 cases, multiple nodules occurred to 30 cases, single nodule occurred to 10 cases, round-like lesions occurred to 30 cases, irregular lesions occurred to 10 cases, 10 cases were with calcification, showing spotting, plaque or annular, 14 cases were with cystis degeneration, 8 cases were with fibering, 2 cases were with haemorrhage, and compression of trachea was in 6 cases, a further enhancement in the lesions occurred to 3 cases and no enhancement was in lesions with cystic lesions. Conclusion CT scan is of a certain value in the diagnosis of the struma nodosa.