US和CT对甲状腺癌定性和淋巴结转移的比较.pdfVIP

中国临床医学影像杂志2008年第 l9卷第 1期J Chin Clin Med Imaging，2008，Vo1．19，No．1 · 27· US和CT对甲状腺癌定性和淋巴结转移的比较 常 城，李文彬，庄奇新，李明华 (上海交通大学附属第六人民医院放射科。上海 200233) 【摘要】 目的：评价超声(US)和CT检查对甲状腺癌的诊断价值。方法：我们回顾性分析42例甲状腺癌的US和CT表现。 42例均行US和CT检查，CT都用对比增强扫描和多平面重建(MPR)来鉴别原发性肿瘤和颈部转移淋巴结。结果：US和CT诊 断结果与病理结果进行对比分析。US诊断甲状腺癌的符合率为64．3％，CT为83．3％。对于颈部淋巴结转移诊断US的符合率为 75．O％，CT为50．O％。结论：CT对甲状腺癌定性诊断正确率高于US检查，但是US对于怀疑颈部淋巴结转移的晚期病人评价要 优于CT。US和CT结合可以提高诊断甲状腺癌的准确性。 【关键词】 甲状腺肿瘤；淋巴转移；超声检查，多普勒，彩色；体层摄影术，螺旋计算机 【中图分类号】 R736．1；R445．1；R814．42 【文献标识码】A 【文章编号】 1008—1062(2008)01-0027-03 Comparison of US and CT in the diagnosis of thyroid~rcmoma’s qualitation and lymph node metastasis CHANG Cheng,LI Wen—bin,ZHUANG Qi-xin,LI Mi，lg．^“n (Department of Radiology,the Affdiated Sixth People’s Hospital,Shanghai Jiaotong University,Shanghai 200233,China) Abstract：0bjective：To evaluate the diagnostic value of ultrasound(US1 and CT for thyroid carcinoma．Methods：The US and CT appearance in 42 cases of thyroid carcinoma were analyzed retrospectively．All the patients had beth US and CT ex- aminations．CT with contrast—enhanced scan and muhiplanar reconstruction(MPR、were all employed to differentiate primary tu- mor and metastatic lymph node in the neck．Result：The final diagnostic rate of thyroid carcinoma with US Was 64．3％．and CT Was 83_3％．The diagnostic rate of cervical lymph node metastasis with US Was 75．0％．with CT Was 50．O％．Conclusion： CT is more accurate in the diagnosis of thyroid carcinoma than US．But US is better than CT in finding cervical lymph node metastasis of advanced patients． e diagnosis of thyroid carcinoma，when combined US witll CT，should be more accurate． Key words：Thyroid neoplasms；Lymphatic metastasis；Ultrasonography，Doppler,color；,Tomography，spiral computed 甲状腺癌是头颈部最常见的恶性肿瘤，也是内 检查时患者仰卧位，枕头置于肩部下方，以纵切、横 分泌系统最常见的恶性肿瘤之一。近20年来其发病 切和斜切等多个切面显示