汕头大学医学院学报2024，Vol.37Issue(4)：212-216,5.DOI:10.13401/j.cnki.jsumc.2024.04.004
CT对结节型亚急性甲状腺炎与甲状腺乳头状癌的鉴别诊断价值
The value of CT in differential diagnosis of nodular subacute thyroiditis and papillary thyroid carcinoma
摘要
Abstract
Objective:To investigate the value of CT in the differential diagnosis of nodular subacute thyroiditis(SAT)and papillary thyroid carcinoma(PTC).Methods:A total of 100 patients who underwent fine needle aspiration biopsy or surgery for thyroid nodules in Shantou Central Hospital from September 2019 to May 2024 were retrospectively enrolled and divided into nodular SAT group(40 cases)and PTC group(60 cases)according to pathological results.The observed CT signs included thyroid gland edge exudation,lesion shaping distribution,lesion calcification,lesion delayed enhancement,cervical lymphadenopathy,bitten cake sign and target sign.The postoperative pathological results were used as the gold standard to compare the diagnostic efficacy of CT signs for nodular SAT.Results:There were significant differences in CT signs such as target sign,lesion shaping distribution,thyroid gland edge exudation and lesion calcification between nodular SAT and PTC(P<0.05).Nodular SAT often showed target sign,lesion shaping distribution and thyroid gland edge exudation,while PTC often showed lesion calcification.The sensitivity of CT signs such as target sign,lesion shaping distribution and thyroid gland edge exudation in diagnosing nodular SAT was 87.5%,82.5%and 62.5%,respectively,and the specificity was 93.3%,90%and 83.3%,respectively.Conclusion:CT signs such as target sign,lesion shaping distribution and thyroid gland edge exudation are helpful for differential diagnosis of nodular SAT and PTC.关键词
亚急性甲状腺炎/甲状腺乳头状癌/鉴别诊断/体层摄影术,X线计算机Key words
subacute thyroiditis/papillary thyroid carcinoma/differential diagnosis/tomography,X-ray computed分类
医药卫生引用本文复制引用
罗元烨,陈夏浦,孙建鸿,林黛英,马树华..CT对结节型亚急性甲状腺炎与甲状腺乳头状癌的鉴别诊断价值[J].汕头大学医学院学报,2024,37(4):212-216,5.基金项目
汕头市医疗卫生科技计划(230509116495613) （230509116495613）
