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目的分析甲状腺结节性病变的CT影像表现,探讨各种甲状腺结节性病变CT诊断和鉴别诊断。方法回顾性分析2010年4月至2015年7月解放军第401医院崂山分院经手术病理证实的99例各种甲状腺结节性病变的CT诊断资料,并与手术病理结果进行对照。结果本组99例,16例甲状腺瘤,46例结节性甲状腺肿,37例甲状腺癌;其中单发结节48例,多发结节51例。CT对甲状腺良性结节的诊断符合率为80.6%(50/62),对甲状腺恶性结节的诊断符合率为89.2%(33/37)。结论 CT检查在甲状腺结节性病变的定性诊断及鉴别诊断中具有重要价值。
Objective To analyze the CT findings of thyroid nodules and explore the CT diagnosis and differential diagnosis of various thyroid nodules. Methods A retrospective analysis of 99 cases of thyroid nodular lesions confirmed by surgery and pathology in Laoshan Branch of the 401st Hospital of PLA from April 2010 to July 2015 was made and compared with the results of surgery and pathology. Results The group of 99 cases, 16 cases of thyroid tumor, 46 cases of nodular goiter, 37 cases of thyroid cancer; single nodules in 48 cases, multiple nodules in 51 cases. The coincidence rate of CT diagnosis of benign thyroid nodules was 80.6% (50/62), and the coincidence rate of CT diagnosis of malignant thyroid nodules was 89.2% (33/37). Conclusion CT examination is of great value in the qualitative diagnosis and differential diagnosis of thyroid nodular lesions.