良、恶性甲状腺肿块的临床研究及超声及CT的征象分析.docVIP

良、恶性甲状腺肿块的临床研究及超声及CT的征象分析 ：目的探讨良、恶性甲状腺肿块的临床特点及超声、CT诊断价 值。方法 收集经手术病理证实为甲状腺肿块的68例(108个甲状腺结节) 患者的临床资料，所有患者术前均已接受超声及CT检查，观察良、恶性 甲状腺结节患者图像特点，总结其CT及超声征象，分析两者在良、恶性 甲状腺肿块鉴别中的价值。结果良性结节患者年龄大于恶性组(P0. 05), 但良性组结节直径均高于恶性组(P0. 05)；良性结节以囊变征多见，恶 性结节以钙化或微小钙化多见。结论 超声与CT鉴别良恶性甲状腺肿块图 像一致性高，超声在微小甲状腺结节、结节内钙化及囊变显示方面优于CT, CT对甲状腺结节边缘及包膜显示情况优于超声。 关键词：甲状腺肿块；鉴别；超声；CT；征象 Abstract： Objective To investigate the clinical features of benign and malignant thyroid masses and to evaluate the diagnostic value of ultrasound and CT. Methods The cl inical data of 68 patients (108 thyroid nodules) confirmed by operation and pathology were collected. All patients underwent ultrasound and CT examination before operation. The image characteristics of benign and malignant thyroid nodules were observed? The CT and ultrasound findings were summarized. The value of the two in the differentiation of benign and malignant thyroid masses was analyzed. Results Patients with benign nodules were older than those with malignant ones (P0.05) but the diameter of benign nodules was higher than that of the maligna nt ones (P0. 05)； Benig n nodules mostly showed cystic sig ns while malignant nodules mainly showed calcification or tiny calcification. Conclusion The imago consistency of ultrasound and CT in differential diagnosis of benign and maligriant thyroid masses is high. Ultrasound has more advantages over CT in displaying thyroid nodules, calcification in nodules and cystic changes while CT has more advantages over ultrasound in displaying thyroid edges of nodules and capsule. Key words： Thyroid mass； Differentiation； Ultrasound； CT； Sign 甲？敘偌膊〃？临床常见内分泌疾病，发病率仅次于糖尿病［1］。统计 显示，成人群体中，甲状腺结节触诊检出率为4%?9%, CT及超声诊断检 出率超过60%,约有50%的甲状腺结节触诊正常者可经CT或超声检出［2］ o 但良恶性甲状腺结节治疗方式存在差异，预后不尽相同，早期检出病灶并 鉴别其良恶性对临床治疗方式的选择有重要的指导价值［3］。近年来，超 声及CT在甲状腺结节鉴别诊断中得到广泛应用，两者各具优势，但仅有 极少数文献对两者在甲状腺结节鉴别诊断中的价值进行对比。为总结甲状 腺良、恶性肿块临床特点及超声、CT征象与诊断价值，我院对收治的68 例甲状腺结节患者的临床资料进行了回顾性分析，现报道如下： 1资料与方法 1. 1 一般资料 收集2012年4月?2015年8月经手术病理证实为甲状 腺肿块的68例（108个结节）患者，其中男18例，女50例；年龄10? 78