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目的 探讨CT在亚急性甲状腺炎的诊断和鉴别诊断中的价值。方法 回顾性分析9例亚急性甲状腺炎患者的临床资料和CT图像。所有病人均为女性,年龄在20—45岁之间,平均37岁,以颈部肿痛、甲状腺肿块或结节行CT检查。结果 首次CT均示甲状腺肿大或伴结节,密度不均匀性减低,增强扫描密度不均反而不明显,多位于一侧;病变具有自限性且易反复发作,复查病例中多见病侧消失或好转而对侧又发生病变,抗炎加糖皮质激素治疗效果佳。结论 CT可作为亚急性甲状腺炎诊断和鉴别诊断的一种辅助手段。
Objective To investigate the value of CT in the diagnosis and differential diagnosis of subacute thyroiditis. Methods The clinical data and CT images of 9 patients with subacute thyroiditis were retrospectively analyzed. All patients were female, aged 20-45 years old, average 37 years old, with neck swelling, thyroid mass or nodules underwent CT examination. Results The first CT showed goiter or with nodules, the density of nonuniformity decreased, enhanced scanning density uneven but not obvious, and more in one side; lesions with self-limiting and easy to recurrent, more common in the review of the disease side Disappear or improve the opposite side of the lesion, anti-inflammatory glucocorticoid treatment effect is good. Conclusion CT can be used as a secondary diagnostic and differential diagnosis of subacute thyroiditis.