msct对结节性甲状腺肿的诊断价值.docVIP

MSCT对结节性甲状腺肿的诊断价值 李健 蒋华东 顾庆春 薛春华 范晔辉 江苏省启东市人民医院影像科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 探讨MSCT对结节性甲状腺肿 (Nodular goiter, NG) 的诊断价值。方法回顾性分析38例经手术及病理证实的NG病例的MSCT表现。结果 病灶多发22例, 单发16例;平扫为低密度或略低密度29例, 等或略高密度7例, 完全高密度钙化2例;增强扫描病灶边界均清晰显示, 无一例超出甲状腺包膜;气管受压5例;25例可见不同程度囊变, 增强扫描囊变区无强化, 10例周边可见环形强化, 2例见壁结节;10例见钙化;8例病灶见间隔线;颈部淋巴结均未见肿大;非囊变区增强后见不均匀强化, 强化程度不等。结论MSCT能清晰显示病变的内部结构、边缘、强化特点及与周围结构的关系, 并具有一定特征性, 对NG的术前诊断具有重要价值。 关键词： 甲状腺肿; 结节性; 体层摄影术, X线计算机; 收稿日期：2017-09-18 Diagnosing Nodular Goiter Through MSCT: A Case Series Study LI Jian JIANG Hua-dong GU Qing-chun Department of Radiology, the Peoples Hospital in Qidong City; Abstract： Objective To evaluate clinical contribution of MSCT in diagnosing nodular goiter (NG) . Methods a total of 38 NG cases confirmed by postoperative pathology were enrolled. Performances of MSCT in each case were retrospectively analyzed. Results 22 cases presented multiple lesions, while 16 cases were solitary lesions. In plain scan, 29 cases showed low density or slight low density, 7 cases presented equal or slight high density and 2 cases were totally high density calcification. After enhancement, boundary of every lesion of each case could be clearly illustrated, and no case exceeded envelop. However, 5 cases showed tracheal compression. Cyst formation was seen in 25 cases, no enhancement was demonstrated, whereas circular enhancement was presented in peripheral. Mural nodules were seen in 2 cases, calcifications were demonstrated in 10 cases, and septal lines were identified in 8 cases. All the cervical lymph nodes were negative. Noncystic area showed inhomogeneous enhancement with different degree after contrast medium. Conclusion Inner structure, edge, feature of enhancement, and relationship with surroundings were clearly demonstrated by MSCT, which guarantee its clinical value in pre-operative evaluation on thyroid nodules. Keyword： Thyroid Nodule; Nodular Goiter; Radiography; Multi-slice Compu