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用99mTc-MIBI显像法对56例经病理证实(37例为恶性病变,19例为良性病变)的甲状腺“冷”结节患者鉴别,结果血流丰富的共22例(恶性病变中20例、良性病变中2例);99mTc-MIBI显像T/NT比值,恶性病变中乳头状癌、滤泡状癌、髓样癌、未分化癌均与99mTcO-4显像有非常显著性差异(P<0.001),而良性病变中仅腺瘤有显著性差异(P<0.05),其余均无显著性差异(P>0.05)。99mTc-MIBI显像阳性率为75.7%(28/37),诊断的准确率为78.6%,特异性为84.2%。该法对鉴别甲状腺“冷”结节有一定价值,可在临床上推广应用。
Forty-six patients with “nodular” thyroid nodules confirmed by pathology (malignant lesions of 37 and benign lesions of 19) were identified by 99mTc-MIBI imaging. Totally 22 patients (20 of malignant lesions , Benign lesions in 2 cases); 99mTc-MIBI imaging T / NT ratio, malignant lesions of papillary carcinoma, follicular carcinoma, medullary carcinoma, undifferentiated carcinoma with 99mTcO-4 imaging has a very significant difference ( P <0.001). There was no significant difference between benign and benign adenomas (P <0.05). There was no significant difference between the two groups (P> 0.05). The positive rate of 99mTc-MIBI imaging was 75.7% (28/37), the diagnostic accuracy was 78.6% and the specificity was 84.2%. The method of identification of thyroid “cold” nodules have some value, can be clinically applied.