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CT 双期增强扫描在甲状腺腺瘤及结节性甲状腺肿鉴别诊断中的价值?
引用本文:薛峰,孙丹,厉玛萱萱,乔忠云,单华.CT 双期增强扫描在甲状腺腺瘤及结节性甲状腺肿鉴别诊断中的价值?[J].CT理论与应用研究,2016(4):471-476.
作者姓名:薛峰  孙丹  厉玛萱萱  乔忠云  单华
作者单位:江苏省第二中医院放射科,南京,210017
摘    要:目的:探讨 CT 双期增强扫描对甲状腺腺瘤和结节性甲状腺肿鉴别诊断中的价值。资料与方法:回顾性比较25例经手术后病理证实的甲状腺腺瘤和结节性甲状腺肿患者 CT 平扫及增强扫描结果,并进行分析。结果:25例患者共取出甲状腺结节35枚,其中甲状腺腺瘤18枚,结节性甲状腺肿17枚。腺瘤组平扫 CT 值30~60 HU,结节性甲状腺肿组平扫 CT 值25~55 HU,两者差别不明显。腺瘤组增强扫描 CT 值120~160 HU,结节性甲状腺肿组增强扫描 CT 值60~100 HU,两者有显著差异。结论:甲状腺 CT 双期增强扫描对甲状腺腺瘤和结节状甲状腺肿在鉴别诊断上可以提供重要的参考。

关 键 词:结节性甲状腺肿  甲状腺腺瘤  多层螺旋  CT

CT Double Phase Enhanced Scan to Thyroid Adenoma and Nodular Thyroid in Differential Diagnosis Value
XUE Feng,SUN Dan,LIMA Xuan-xuan,QIAO Zhong-yun,SHAN Hua.CT Double Phase Enhanced Scan to Thyroid Adenoma and Nodular Thyroid in Differential Diagnosis Value[J].Computerized Tomography Theory and Applications,2016(4):471-476.
Authors:XUE Feng  SUN Dan  LIMA Xuan-xuan  QIAO Zhong-yun  SHAN Hua
Abstract:Objective: To investigate CT double phase enhanced scan in the diagnosis of thyroid adenoma and nodular goiter. Methods: A retrospective comparison of 25 cases handled postoperative pathology confirmed thyroid adenoma and nodular goiter patients with CT scan and enhanced scan results, and analyzed. Results: A total of 25 patients took 35 thyroid nodule, 18 thyroid adenoma and nodular goiter 17 pieces. Adenoma group scan CT value of 30 ~ 60 HU, nodular goiter group scan CT value of 25 ~ 55 HU, both difference is not obvious. Adenoma group enhanced scanning CT value 120 ~ 160 HU, nodular goiter set 60 ~ 100HU, CT scan, there were significant differences between the two. Conclusion: CT double phase enhancement of thyroid adenoma and thyroid provide basis for the differential diagnosis of nodular goiter.
Keywords:thyroid adenoma  nodular goiter  MSCT
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