ct与mri在诊断甲状腺肿瘤诊断中的应用意义探析.docVIP

精品论文 参考文献 CT与MRI在诊断甲状腺肿瘤诊断中的应用意义探析 高明章1 樊喜2 　　(1甘肃省民乐县疾病预防控制中心 甘肃张掖 734500) 　　(2民乐县中医医院影像科 甘肃张掖 734500) 　　【摘要】目的：研究探讨CT和MRI诊断甲状腺肿瘤的临床应用价值。方法：选取我院收治的经病理诊断证实为甲状腺肿瘤患者90作为研究对象，回顾性患者的临床基本资料，所有患者均在术前实施CT和MRI诊断，观察其各自的影像学特征，以术后病理诊断结果为依据，计算并比较不同方法诊断的符合率。结果：90例甲状腺肿瘤患者中，经术后病理诊断，共检出乳头状癌65例（占72.22%），滤泡状癌16例（占17.78%），髓样癌5例（占5.56%），未分化癌4例（占4.44%），CT和MRI的诊断符合率分别为，MRI显著高于CT，比较有统计学差异（P＜0.05）。结论：在甲状腺肿瘤的诊断过程中，应用MRI的诊断准确率更高，有利于肿瘤的定性分析和误漏诊率的降低，值得临床推广应用。 　　【关键词】CT；MRI；甲状腺肿瘤；应用价值 　　【中图分类号】R581 【文献标识码】A 【文章编号】1007-8231（2016）10-0043-02 　　The significance of CT and MRI in the diagnosis of thyroid tumor 　　【Abstract】Objective To study the clinical application value of CT and MRI in the diagnosis of thyroid tumor. Methods Selected in our hospital by pathological diagnosis confirmed for the patients with thyroid tumor 90 as the object of study, review the patients clinical data, all patients were in the preoperative implementation of CT and MRI in the diagnosis of observed their image characteristics, with postoperative pathological diagnosis as the basis, the calculation and comparison of different methods in the diagnosis coincidence rate. Results In 90 cases of thyroid cancer, by postoperative pathological diagnosis were detected papillary carcinoma in 65 cases (72.22%), follicular carcinoma in 16 cases (accounted for 17.78%), medullary carcinoma in 5 cases (5.56%), 4 cases of undifferentiated carcinoma (4.44%), CT and MRI diagnosis coincidence rate respectively, MRI was superior to that of CT. Statistical difference (P lt; 0.05). Conclusion In the diagnosis of thyroid tumor, the diagnosis accuracy of MRI is higher, which is conducive to the qualitative analysis of the tumor and reduce the rate of misdiagnosis, it is worthy of clinical popularization and application. 　　【Key words】CT; MRI;Thyroid neoplasms; Application value 　　甲状腺病变是常见的颈部病变，在女性群体中有较高的发病率，且多数为良性，只有少数属于恶性癌变[1]。尽管如此，随着环境、生活习惯等的改变，甲状腺恶性肿瘤的发生率呈现不断升高的趋势，且发病时还会累及邻近的气管、食管、神经血管等多种组织结构，不仅正