摘要
目的:分析CT检查对甲状腺良恶性钙化结节的鉴别诊断价值。方法:收集2019年1月~2021年1月经病理检查确诊的78例甲状腺钙化结节患者的CT表现,分析良性、恶性钙化结节的征象差异。结果:甲状腺良性单发结节、甲状腺恶性单发结节,在结节直径、平扫密度和增强扫描的动静脉期密度比较,差异无统计学意义(P>0.05);甲状腺良性单发结节中,形态不规律、结节囊实性、密度模糊、边界模糊、钙化特征占比均高于甲状腺恶性单发结节,无包膜和远处转移均低于甲状腺恶性单发结节,组间形成统计学差异(P<0.05)。结论:对甲状腺良恶性钙化结节的鉴别诊断时,开展CT检查通过对影像学的密度、形态、边界和包膜等鉴别,具有关键意义。
Objective:To analyze the value of CT in the differential diagnosis of benign and malignant calcified thyroid nodules.Methods:The CT findings of 78 patients with thyroid calcified nodules confirmed by pathological examination from January 2019 to January 2021 were collected,and the signs of benign and malignant calcified nodules were analyzed.Results:There was no significant difference in nodule diameter,plain scan density and enhanced scan density between benign single thyroid nodule and malignant single thyroid nodule(P>0.05);Among benign single thyroid nodules,the proportion of irregular shape,cystic and solid nodules,fuzzy density,fuzzy boundary and calcification was higher than that of malignant single thyroid nodules,and the non capsule and distant metastasis were lower than that of malignant single thyroid nodules(P<0.05).Conclusion:In the differential diagnosis of benign and malignant calcified thyroid nodules,CT examination is of key significance to distinguish the density,shape,boundary and capsule of imaging.
作者
黄伟峰
陈鑫艺
HUANG Wei-feng;CHEN Xin-yi(The First Affiliated Hospital of Xiamen University,Fujian Xiamen 361000)
出处
《中国医疗器械信息》
2022年第18期82-84,共3页
China Medical Device Information
关键词
CT检查
甲状腺良性
甲状腺恶性
钙化结节
鉴别价值
CT examination
benign thyroid
thyroid malignancy
calcified nodules
identification value
