[1]曾恒栋.CT鉴别诊断甲状腺乳头状癌与结节性甲状腺肿的临床价值[J].医学信息,2024,37(22):165-168.[doi:10.3969/j.issn.1006-1959.2024.22.041]
　ZENG Hengdong.Clinical Value of CT in Differential Diagnosis of Papillary Thyroid Carcinoma and Nodular Goiter[J].Journal of Medical Information,2024,37(22):165-168.[doi:10.3969/j.issn.1006-1959.2024.22.041]
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CT鉴别诊断甲状腺乳头状癌与结节性甲状腺肿的临床价值()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
37卷
期数:
2024年22期
页码:
165-168
栏目:
诊疗技术
出版日期:
2024-11-15

文章信息/Info

Title:
Clinical Value of CT in Differential Diagnosis of Papillary Thyroid Carcinoma and Nodular Goiter
文章编号:
1006-1959（2024）22-0165-04
作者:
曾恒栋
广昌县人民医院影像科，江西 广昌 344900
Author(s):
ZENG Hengdong
Imaging Department of Guangchang County People’s Hospital,Guangchang 344900,Jiangxi,China
关键词:
CT; 鉴别诊断; 甲状腺乳头状癌; 结节性甲状腺肿
Keywords:
CT; Differential diagnosis; Papillary thyroid carcinoma; Nodular goiter
分类号:
R445
DOI:
10.3969/j.issn.1006-1959.2024.22.041
摘要:
目的 研究CT鉴别诊断甲状腺乳头状癌与结节性甲状腺肿的临床价值。方法 选取2021年7月-2023年6月在我院诊治的76例甲状腺疾病患者为研究对象，其中甲状腺乳头状癌32例，结节性甲状腺肿44例，均采用CT进行诊断，观察CT鉴别诊断甲状腺乳头状癌与结节性甲状腺肿的诊断效能（灵敏度、特异度、准确率、阳性预测值、阴性预测值），比较甲状腺乳头状癌与结节性甲状腺肿的CT成像特点、甲状腺体积，ROC曲线分析CT鉴别两者的价值。结果 CT鉴别诊断甲状腺乳头状癌与结节性甲状腺肿的灵敏度、特异度、准确率、阳性预测值、阴性预测值比较，差异无统计学意义（P＞0.05）；甲状腺乳头状癌病灶形态、边缘、内部特点、钙化、晕圈、与腺体关系方面与结节性甲状腺肿比较，差异有统计学意义（P＜0.05），甲状腺乳头状癌与结节性甲状腺肿的结节类型比较，差异无统计学意义（P＞0.05）；甲状腺乳头状癌结节体积、腺体峡部厚度均大于结节性甲状腺肿，右叶腺体体积、左叶腺体体积均小于结节性甲状腺肿（P＜0.05）；ROC曲线显示，CT诊断甲状腺乳头状癌与结节性甲状腺肿的AUC面积比较，差异无统计学意义（P＞0.05）。结论 CT鉴别诊断甲状腺乳头状癌与结节性甲状腺肿具有较高的价值，并且可以通过CT成像特点对两者进行判断，了解病情具体特点，对患者后续治疗具有重要的意义，值得临床加以应用。
Abstract:
Objective To study the clinical value of CT in differential diagnosis of papillary thyroid carcinoma and nodular goiter.Methods A total of 76 patients with thyroid diseases diagnosed and treated in our hospital from July 2021 to June 2023 were selected as the research objects, including 32 patients with papillary thyroid carcinoma and 44 patients with nodular goiter. All of them were diagnosed by CT. The diagnostic efficacy of CT in differential diagnosis of papillary thyroid carcinoma and nodular goiter (sensitivity, specificity, accuracy, positive predictive value, negative predictive value) was observed. The CT imaging characteristics and thyroid volume of papillary thyroid carcinoma and nodular goiter were compared. ROC curve was used to analyze the value of CT in differential diagnosis of papillary thyroid carcinoma and nodular goiter.Results There was no significant difference in the sensitivity, specificity, accuracy, positive predictive value and negative predictive value of CT in the differential diagnosis of papillary thyroid carcinoma and nodular goiter (P>0.05). There were significant differences between papillary thyroid carcinoma and nodular goiter in morphology, margin, internal characteristics, calcification, halo, and relationship with glands (P<0.05), while there was no significant difference in the types of nodules between papillary thyroid carcinoma and nodular goiter (P>0.05). The nodule volume and the thickness of the gland isthmus of papillary thyroid carcinoma were larger than those of nodular goiter, and the volume of the right lobe gland and the left lobe gland were smaller than those of nodular goiter (P<0.05). ROC curve showed that there was no significant difference in AUC area between CT diagnosis of papillary thyroid carcinoma and nodular goiter (P>0.05).Conclusion CT has a high value in the differential diagnosis of papillary thyroid carcinoma and nodular goiter, and it can be judged by CT imaging characteristics to understand the specific characteristics of the disease. It is of great significance for the follow-up treatment of patients and is worthy of clinical application.

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更新日期/Last Update: 1900-01-01