多排螺旋CT鉴别及诊断甲状腺癌的临床价值分析

Clinical value of multi-slice spiral CT in the differentiation and diagnosis of thyroid cancer

目的观察多排螺旋CT诊断及鉴别诊断甲状腺癌的临床价值.方法选取2017年12月~2018年12月于我院治疗的56例疑似甲状腺癌患者作为研究对象,应用多排螺旋CT进行检查,并与病理检查进行对比,并对甲状腺癌与良性甲状腺疾病的肿瘤边界是否清晰、肿瘤包膜是否完整、是否出现钙化及囊变、强化程度及是否伴有颈部淋巴结转移方面进行对比.结果 56例疑似甲状腺癌患者中,经病理证实确诊40例,余16例为甲状腺良性病变.多排螺旋CT检查诊断的准确性为83.9%(47/56),甲状腺癌与甲状腺良性病变在肿瘤边界、肿瘤包膜、囊变、钙化、强化程度及伴有颈部淋巴结转移方面比较,差异具有显著性(P<0.05).结论多排螺旋CT诊断及鉴别诊断甲状腺癌具有重要的临床价值.

Objective To observe the clinical value of multi-slice spiral CT in the diagnosis and differential diagnosis of thyroid cancer. Methods A total of 56 patients with suspected thyroid cancer who were treated in our hospital from December 2017 to December 2018 were enrolled in this study. They underwent multi-slice spiral CT examination and the CT results were compared with pathological examination. Whether the tumor boundary was clear, whether the tumor capsule was intact, whether calcification and cystic changes occurred, the degree of enhancement and whether it was accompanied by cervical lymph node between metastasis thyroid cancer and benign thyroid disease was compared. Results Of the 56 patients with suspected thyroid cancer, 40 were confirmed by pathology and the remaining 16 were benign thyroid lesions. The accuracy of multi-slice spiral CT examination was 83.9%(47/56). The difference between thyroid cancer and benign thyroid lesions in tumor boundary, tumor capsule, cystic change, calcification, degree of enhancement and cervical lymph node metastasis was significant(P<0.05). Conclusion Multi-slice spiral CT has important clinical value in the diagnosis and differential diagnosis of thyroid cancer.