超声和CT的联合应用在甲状腺滤泡性病变诊断和鉴别诊断中的价值

摘要

Objective:To explore the value of application ultrasound combined with CT in diagnosis and differential diagnosis of thyroid follicular lesions.Methods:80 patients with thyroid follicular lesions were selected from November 2009 to March 2011.All patients underwent ultrasonography and CT examination,and analyzed their examination results and pathological results,evaluated the diagnosis and the differential value of application ultrasonography combined with CT.Results:The sensitivity of ultrasound for thyroid follicular lesions examined was 67.5%;the sensitivity of CT for thyroid follicular lesions examined was 65%;the sensitivity of CT and ultrasonic for thyroid follicular lesions examined was 95%.CT and ultrasound diagnosis for thyroid follicular lesions manifestations as a clear boundary,cystic,morphological rules,a halo,blood flow signals are not rich,calcification.It is a benign presentation.Conclusion:Ultrasound combined with CT applicated on thyroid follicular lesions diagnosis and differential diagnosis has clear boundary,cystic,morphological rules,halo,blood flow signals are not rich,calcification,with highly sensitivity diagnosis.So it has clinical significance and worthy of popularity.%目的：探讨超声和CT的联合应用在甲状腺滤泡性病变诊断和鉴别诊断中的价值。方法：2009年11月-2011年3月收治甲状腺滤泡性病变患者80例，所有患者都进行超声和CT检查，将检查结果和病理结果进行对比分析，评价超声和CT联合应用的诊断价值和鉴别价值。结果：超声对于甲状腺滤泡性病变检查的灵敏度67.5%，CT对于甲状腺滤泡性病变检查的灵敏度65%，CT联合超声对于甲状腺滤泡性病变检查的灵敏度95%。CT联合超声对于甲状腺滤泡性病变检查的诊断表现为边界清楚、囊实性、形态规则、有晕环、血流信号不丰富、无微小钙化，是良性表现。结论：超声和CT的联合应用在甲状腺滤泡性病变诊断和鉴别诊断中灵敏度极高。具有临床价值，可以大力推广。