摘要
目的研究超声、CT诊断甲状腺癌的影像学特征及诊断价值。方法选取我院2011年8月至2014年8月125例甲状腺癌患者为研究对象,均进行CT及超声诊断,比较两种检测方式对甲状腺癌病理类型的检出率,观察微小癌病灶的诊断情况,最后分析联合检测的诊断价值。结果 CT诊断检出率为75.2%与超声诊断检出率60.0%比较显著较高(χ2=6.593,P<0.05);CT诊断微小乳头状癌符合率为25.0%与超声诊断符合率18.8%比较较高,但比较无统计学意义(P>0.05);CT与超声联合检测阳性率为84.0%与CT及超声单一检测比较显著较高(P<0.05)。结论CT对甲状腺癌的检出率优于超声诊断,联合检测可提高甲状腺癌检出率,具有较高的临床应用价值。
Objective To study the imaging features and diagnostic value of ultrasonography and CT in the diagnosis of thyroid cancer. Methods 125 cases of thyroid cancer patients in the hospital during August 2011 to August 2014 were selected as the research object and all received CT and ultrasonography diagnosis. The detection rates of pathological types of thyroid cancer were compared between the two kinds of detection methods. The diagnosis of microcarcinoma lesions was observed. Finally, the diagnostic value of combined detection was analyzed. Results The positive rate of CT diagnosis was 75.2% which was significantly higher than 60.0% of ultrasonography （X2=6.593, P 〈0.05）, The coincidence rate of CT in diagnosis of papillary, microcarcinoma was 25.0% which was relatively higher than 18.8% of ukrasonography but there is no statistical significance （P〉0.05）; The positive rate of CT and ultrasonography combined detection was 84.0% which was significantly higher than that of CT or ultraso,mgraphy single detection （P〈0.05）. Conclusion The detection rate of CT in thyroid cancer is better than that of ultrasonography diagnosis, combined detection can improve the detection rate of thyroid cancer, which is of relatively higher clinical application value.
作者
段天鹏
尹建军
DUAN Tian-peng YIN Jian-jnn.(Huangshi Central Hospital of Hubei Province, Huangshi 435001, Hubei Province, China)
出处
《中国CT和MRI杂志》
2017年第2期42-44,共3页
Chinese Journal of CT and MRI
关键词
甲状腺癌
超声
CT
影像学表现
Thyroid Cancer
Ultrasonography
CT
Imaging Findings
