核素显像鉴别甲状腺结节良恶性的临床价值分析.pdfVIP

生垦理岱荭堑应届垫!!生!旦筮鱼鲞筮2翅g!i!』丛鲤坠翌g△PP!。』坚2Q12，!!!：!：№：兰 ·5· 核素显像鉴别甲状腺结节良恶性的 临床价值分析 余会丽解洪泉王惠君侯晗 【摘要】 目的 分析并评价”mTc．MIBI亲肿瘤显像在判定甲状腺结节良恶性中的应用价值。方 法对本组489例甲状腺结节患者实施手术治疗以及病理检查，并对病理报告结果与”mTc-MIBI甲状腺 亲肿瘤显像结果的相符情况进行分析。结果”mTc-MIBI亲肿瘤显像的假阳性率、假阴性率分别为 19．11％和39．64％；阳性与阴性预测值分别为46．96％和85．64％；其准确度、特异度以及敏感度分别为 76．36％、80．86％和60．32％；阳性与阴性似然比分别为3．12和0．47；其甲状腺恶性结节发病率为 21．9l％。结论甲状腺”mTc．MIBI亲肿瘤显像在鉴别甲状腺良恶性方面具有较好的参考价值。 【关键词】99m锝．甲氧基异丁基异腈；亲肿瘤显像；甲状腺结节；良恶性诊断 YU Theclinicalvalue to and nodules benignmalignantthyroid Hui—li，XIE analysisscintigraphyidentify NuclearMedicine Second Hong—quan，WANGHui-jun，eta1．Departmentof PingdingshanPeople’sHospitalPing- dingshan，467000，China To andevaluate”mTc-MIBIinthedeterminationof 【Abstract】0bjecfiveanalyze imaging pro-tumor and nodulesinthe The of489casesof treat- benign thyroid group surgical malignant application．Methods mentof with nodulesand examination．andthe resultswitll”mTc- patientthyroid pathological pathologyreport MIBI of tumors consistentwitlltheresultsofthe scintigraphythyroid pro-situation analysis．Results”mTc-MI- rateswere19．1 and BItumor 1％and rate，false-negative 39．64％，positivenegative imagingpro-false—positive valueswere46．96％and and were 85．64％，its 76．36％，80．86％ predictive accuracy，specificitysensitivity and and likelihoodratioswere3．12and incidenceof 60．32％，positivenegative 0．47，the thyroidmalignant nodules21．91％．Conclusiontumors”mTc-MIBIin