摘要
目的:探究16排螺旋CT扫描在甲状腺结节病变的诊断中所起到的作用及临床价值。方法:2010年3月-2014年3月收治甲状腺结节病变患者60例,经过病理及手术证实,其中恶性病变30例,良性病变30例,将其作为研究对象并分为恶性组和良性组。在术前对所有患者采用16排螺旋CT对甲状腺进行检查,观察并判定甲状腺中是否存在钙化形态或钙化。结果:恶性组(甲状腺癌)的CT诊断正确率64.31%,钙化率63.3%;良性组(良性病变)的CT诊断正确率76.13%,钙化率19.98%(P<0.01);甲状腺癌内的微小钙化占钙化总数的33.47%,良性结节内的微小钙化73.31%。数据差异具有统计学意义(P<0.05)。结论:在甲状腺的良恶性结节诊断中16排螺旋CT扫描具有重要的诊断意义。
Objective:To explore the effect and clinical value of 16 slice spiral CT scanning in thyroid nodule lesions.Methods:60patients with thyroid nodule lesions were selected from March 2010 to March 2014.After confirmed by pathology and surgery,among 30 cases were malignant lesions,and 30 cases were benign lesions.They were as the research objects and divided into the malignant group and the benign group.In the preoperative,16 slice spiral CT examination on thyroid was used in all patients.The existence of calcified form and calcification in thyroid were observed and determined.Results:The CT diagnosis accuracy of the malignant group(thyroid cancer) was 64.31%;the calcified incidence was 63.3%.The CT diagnosis accuracy of the benign group(benign lesion) was 76.13%;the calcified incidence was 19.98%(P<0.01).The tiny calcification in thyroid cancer occupied33.47% of the total number of calcification.The tiny calcification in benign nodules occupied 73.31%.The experimental data had statistical difference(P<0.05).Conclusion:16 slice spiral CT scanning has excellent diagnostic significance in the diagnosis of benign and malignant thyroid nodules.
