| 梁宏,林增桃,曾世荃,许泽清.甲状腺显像在甲状腺结节性质鉴别诊断中的临床价值[J].中国医学影像技术,1996,12(6):425~427 |
| 甲状腺显像在甲状腺结节性质鉴别诊断中的临床价值 |
| Clinical Appliance of Thyroid Imaging in Differentiating Benign and Malignant Nodules |
| 投稿时间：1996-02-07 |
| DOI： |
| 中文关键词: 甲状腺结节 放射性核素 显像 诊断 |
| 英文关键词:Thyroid nodule Radionuclide imaging Diagnosis |
| 基金项目: |
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| 摘要点击次数: 2680 |
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| 中文摘要: |
| 126例甲状腺结节患者进行了甲状腺静态及“三相”动态显像检查。主要评价指标有结节血流与摄99m锝功能及甲状腺/唾液腺摄99m锝比值。结果表明：64.3%的癌性结节为“冷结节”, 而腺瘤以“凉结节”居多(47.6%);甲状腺“冷、凉结节”中甲癌的发生几率分别为49.3%与29.3%, 二者有显著性差异(P=0.0205).甲癌患者甲状腺摄碘功能或甲/唾比值下降的发生率较甲瘤患者也明显增高(P=0.0312).动态显像与B超结果比较, 两者对甲状腺癌的鉴别诊断准确性分别为85.7%与71.4%, 但差异无显著性(P=0.1106). |
| 英文摘要: |
| Thyroid static and dynamic imaging were performed in 126 patients with palpable mass. Main evaluating indeces included blood flow and function of nodules, as well as ￣(99m)TcO_-￣4 ingestion ratio of thyroid to salivary gland. Results showed that cold nodule accounted for 64. 3% of thyroid carcinoma. 47. 6% thyroid adenoma was cool nodule. The rate of suffering from thyroid cancer in cold and cool nodules was 49. 3% and 29. 3%, respectively(p=0. 0205). Dynamic imaging compared with B ultrosound, there was no significant difference in differentiating benign and malignant nodules, whose diagnosis accuracy were 85. 7% and 71. 4 respectively. The results indicate thyroid imaging is a significant method of appreciating thyroid blood flow, function and nodule quality, having good clinical value. |
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