多层螺旋CT在甲状腺良恶性结节诊断中的应用价值

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Abstract Objective To study the application value of multi-slice spiral CT in the diagnosis of benign and malignant thyroid nodules.Methods The medical data of 74 patients with thyroid nodules who were given comprehensive examination diagnosed in our hospital from May 2016 to January 2017 were retrospectively analyzed.Among them,57 cases were benign thyroid nodules,and 17 cases were malignant thyroid nodules.All patients were given multi-slice spiral CT plain scan combined with enhanced scan.According to the results of CT imaging,the CT features of benign and malignant thyroid nodules were diagnosed and differentiated.Results According to the multi-slice spiral CT examination,the benign thyroid nodules was detected in 57 cases(75.68%).The malignant thyroid nodules was detected in 57 cases (22.97%).Among them,the CT findings of benign thyroid nodules were mostly regular in shape,with clear boundaries and curve-like and patch-like calcifications.CT findings of malignant thyroid nodules were mostly irregular in shape,blurred in borders,and with spot and particle-like calcification,there were statistically significant differences in CT features between benign and malignant thyroid nodules(P<0.05).The CT enhancement features of benign thyroid nodules were mostly uniform enhancement,with a few of complete ring enhancements,while malignant thyroid nodules were mostly peritumoral residual ring enhancement and peninsula-like enhancement,the differences were statistically significant(P<0.05).Conclusion Multi-slice spiral CT is highly accurate in the diagnosis of benign and malignant thyroid nodules,and can accurately observe the specific characteristics of benign and malignant nodules.It provides an important reference for clinical diagnosis and follow-up treatment,and has a high clinical promotion value.

Key words： Multi-slice spiral CT Thyroid Benign and malignant nodules Diagnosis CT features Value

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	Articles by authors
	FU Zhi-ying
	WAN Hong
	CHEN Liang

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FU Zhi-ying,WAN Hong,CHEN Liang. Application value of multi-slice spiral CT in the diagnosis of benign and malignant thyroid nodules[J]. 中国当代医药, 2018, 25(28): 152-154.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I28/152

[1]	吴美琴，王伟业，颜崇淮.妊娠期亚临床甲状腺功能减退的相关指南对比分析[J].现代妇产科进展，2017，26（2）：145-148.
[2]	李晓曦.2016年美国临床内分泌医师协会《甲状腺结节诊断和治疗临床实践医学指南》解读[J].中国实用外科杂志，2017，37（2）：157-161.
[3]	李小毅，张波，林岩松.成人甲状腺结节与分化型甲状腺癌诊治指南（2015年美国甲状腺协会）解读[J].中华耳鼻咽喉头颈外科杂志，2017，52（4）：309-315.
[4]	刘如玉，张波.美国放射学会甲状腺结节影像报告系统和影像偶发甲状腺结节管理系列白皮书解读[J].中国癌症杂志，2018，28（2）：88-97.
[5]	郭奕瑞，刘颖，张莉.健康体检人群甲状腺结节患病率及相关因素分析[J].现代预防医学，2016，43（22）：4063-4065.
[6]	王小龙，王军，范向达，等.超声影像及临床体征综合分级对甲状腺结节良恶性诊断的价值分析[J].中国医学文摘：耳鼻咽喉科学，2016，31（6）：297-301.
[7]	范梅花，毛平芬，黄品同，等.超声引导下细针穿刺治疗甲状腺囊肿或部分囊性甲状腺结节的疗效[J].中国临床医学影像杂志，2015，26（4）：247-250.
[8]	赵文玲，杨如意，曹昌霞，等.消肿散结方联合化瘀散外敷治疗结节性甲状腺肿的临床疗效及机制[J].中国中西医结合急救杂志，2017，24（5）：527-531.
[9]	马春旭，袁卫红，赵艳花，等.99Tcm-MIBI显像联合超声鉴别诊断甲状腺结节良恶性的临床研究[J].中华核医学与分子影像杂志，2016，36（4）：326-329.
[10]	杨舟，宋宏，郭鹏，等.超声造影检查对早期甲状腺单发结节良恶性的鉴别诊断价值[J].现代生物医学进展，2017，13（3）：489-491.
[11]	齐环宇.超声检查对甲状腺结节的临床效果观察[J].世界最新医学信息文摘，2017，16（25）：168-169.
[12]	侯庆，陈宇，马步云，等.超声评估甲状腺结节内不同钙化类型的临床研究[J].西部医学，2016，28（9）：1297-1301.
[13]	蒋蕾.MSCT、MRI观察胰腺囊性肿瘤血供情况及病理形态的临床价值[J].国际医药卫生导报，2016，22（7）：986-990.
[14]	李燕北.多层螺旋CT三维重建盆腔动脉的形态学研究及在临床中应用[J].中国保健营养，2016，26（30）：383.
[15]	刘洪姝.甲状腺良恶性结节诊断中超声检查的应用意义研究[J].中国现代药物应用，2017，11（16）：31-32.