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目的探讨MSCT检查对甲状腺腺瘤及结节性甲状腺肿的鉴别诊断价值。资料与方法回顾性分析50例经手术病理证实的甲状腺良性结节样病变患者资料,其中甲状腺腺瘤19例,结节性甲状腺肿31例,全部行CT平扫及增强扫描,用Stata 10.1软件对两者的影像学特点进行统计学处理。结果病灶的数目、钙化、间隔线、病灶内乳头状强化结节的边缘与数目有助于鉴别甲状腺腺瘤与结节性甲状腺肿(P<0.05),病灶的边缘、形状、乳头状强化结节基底的宽窄、强化结节体积与病灶体积之比的比较差异无显著性(P>0.05)。结论甲状腺腺瘤与结节性甲状腺肿的MSCT表现有助于术前正确诊断。
Objective To investigate the differential diagnosis value of MSCT in thyroid adenoma and nodular goiter. Materials and Methods Retrospective analysis of 50 cases of thyroid benign nodular lesions confirmed by surgery and pathology, including 19 cases of thyroid adenoma, nodular goiter in 31 cases, all underwent CT and enhanced scan with Stata 10.1 software The statistical characteristics of the two were statistically analyzed. Results The number of lesions, calcification, septal line, and the number and location of the margins and number of papillary enhancement nodules in the lesion were helpful to distinguish between thyroid adenoma and nodular goiter (P <0.05). The margins, shape and papillary enhancement There was no significant difference in the width of basal ganglia and the ratio of nodular volume to lesion size (P> 0.05). Conclusions MSCT findings of thyroid adenoma and nodular goiter contribute to the correct diagnosis before surgery.