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甲状腺99Tc-MIBI动静态显像鉴别甲状腺结节良恶性的临床价值

  【摘要】 目的 探讨甲状腺99Tcm-MIBI动静态显像甲状腺癌诊断中的价值。方法 对54例99Tcm 04甲状腺显像为“冷”结节的患者行甲状腺99Tcm-MIBI动静态显像。患者均行外科手术治疗,并作病理检查。结果 血流灌注显像甲状腺癌诊断的灵敏度、特异性和准确性分别为73.7%、85.7%和81.5%,静态显像甲状腺癌诊断的灵敏度、特异性和准确性分别为78.9%、85.7%和83.3%。结论 甲状腺“冷”结节行甲状腺99Tcm-MIBI动静态显像对于甲状腺癌的诊断具有较高的临床价值。

  【关键词】 99Tcm-MIBI甲状腺癌;动静态显像

  The clinical value of thyroid 99Tcm-MIBI dynamic and static imaging discriminate the property of the thyroid nodule

  LI Wei-ming, GUAN Rui-wei, PENG Wen-xing,et al.the First Affiliated Hospital of Sun Yat-sen University,Guangzhou City,Guangdong 510080, China

  【Abstract】 Objective To evaluate the 99Tcm-MIBI dynamic and static imaging of thyroid “cold ”nodules in the diagnos is of thyroid carcinoma .Methods 54 patients with thyroid“cold ”nodules in 99Tcm 04 imaging were examined with thyroid 99Tcm-MIBI dynamic and static imaging. All the patients under went surgical operation and pathological demonstration.Results The sensitivity, specificity and accuracy of the diagnos is of thyroid carcinoma by blood perfusion imaging were 73.7%、85.7and 81.5%. But the sensitivity, specificity and accuracy of the diagnos is of thyroid carcinoma by static imaging were78.9%、85.7 and 83.3%. Conclusion 99Tcm-MIBI dynamic and static imaging to thyroid“cold ”nodules may be valuable for the diagnos is of thyroid carcinoma.

  【Key words】 99Tcm-MIBI;Thyroid carcinoma;Dynamic and static imaging

  甲状腺结节是临床上常见的甲状腺疾病,结节良恶性的判断是临床选择治疗的关键。(剩余886字)

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