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目的探讨颈根部涉及甲状腺各种占位性病变CT影像学特征,提高诊断准确性。方法回顾分析近5年皆有病理证实明确诊断的不同颈根部涉及甲状腺占位性病变的临床资料,重点分析14例不同颈根部涉及甲状腺占位性病变的CT影像学资料,比较不同占位性病变的CT影像学的特点。结果本组14例中3例为甲状腺乳头状癌侵犯颈段气管和/或颈段食管、4例为甲状腺B细胞型淋巴瘤、3例为颈段食管癌侵犯甲状腺、4例为巨大结节性甲状腺肿侵犯上纵隔。不同占位性病变有不同影像学特点。结论颈根部涉及甲状腺各种占位性病变的CT影像学有一定的特点,可以作为鉴别诊断的依据,深入了解各种占位性病变的CT影像学特点,可减少误诊的几率。
Objective To investigate CT imaging features of cervical lesions involving various thyroid gland lesions and to improve diagnostic accuracy. Methods A retrospective analysis was made on the clinical data of thyroid gland lesions involving different cervical roots diagnosed in the past 5 years. CT imaging data of 14 cases with different cervical roots involved in thyroid gland lesions were analyzed. Lesions CT imaging features. Results Of the 14 patients, 3 cases had papillary thyroid carcinoma invading the cervical trachea and / or cervical esophagus, 4 had thyroid B cell lymphoma, 3 had cervical esophageal cancer invading the thyroid gland, 4 had giant nodules Sexual goiter invading the mediastinum. Different occupying lesions have different imaging features. Conclusions CT imaging of various thyroid gland lesions at the base of the neck has certain characteristics that can be used as the basis for differential diagnosis to understand the CT imaging features of various occupying lesions and reduce the chance of misdiagnosis.