儿童甲状腺病变的核素显像及CT表现

中国辐射卫生

2017, Vol. 26

Issue (3): 366-371

诊断与治疗

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儿童甲状腺病变的核素显像及CT表现

施美华, 李炅, 邱海嵊, 左婷, 王诗渝, 邵虹

上海交通大学医学院附属上海儿童医学中心影像诊断中心, 上海 200127

The Characteristic of Thyroid Lesion Present in ^99mTcO₄^- Thyroid Scintigraphy and Compute Tomography

SHI Mei-hua, LI Jong, QIU Hai-sheng, ZUO Ting, Wang Shi-yu, SHAO Hong

Shanghai Chidren's Medical Center Affiliated with Shanghai Jiao Tong University School of Medicine, Shanghai 200127 China

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摘要目的分析儿童甲状腺病变的核医学^99mTcO₄^-甲状腺显像及CT的表现特征，结合临床及术后病理，总结甲状腺的病变及CT表现，并探讨其诊断价值。方法搜集本院2009年12月-2016年5月48例儿童甲状腺病变（男14例，女34例，中位年龄11.5岁），且行^99mTcO₄^-甲状腺显像和/或CT检查患者的病例资料，其中19例甲状腺肿块病例均经手术证实，余29例结合临床及实验室检查诊断。将影像诊断（^99mTcO₄^-甲状腺显像、CT）与术后病理结果及临床诊断进行对照分析。结果 19例甲状腺肿块中包括腺瘤8例、腺癌5例、结节性甲状腺肿3例、甲状腺脓肿2例、腺旁错构瘤1例。9例异位甲状腺中1例为舌骨水平上下3个结节状改变、1例为舌根及颈前双重异位、余5例位于舌根部（2例为舌根区单个异位改变）。8例正常位置未见明显放射性摄取，1例可见增大的甲状腺，且摄取明显增多。甲状腺炎症根据病程变化有不同程度的摄取增加或减少。结论 ^99mTcO₄^-甲状腺显像及CT在诊断甲状腺病变中有重要辅助作用。

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关键词 ：甲状腺病变, 儿童, ^99mTcO₄^-甲状腺显像, CT

收稿日期: 2016-06-21

PACS:

R187.4

通讯作者: 邵红,Email:wyqrainbow@hotmail.com E-mail: wyqrainbow@hotmail.com

作者简介: 施美华(1978-),女,上海人,主治医师,从事医学影像工作。

引用本文:

施美华, 李炅, 邱海嵊, 左婷, 王诗渝, 邵虹. 儿童甲状腺病变的核素显像及CT表现[J]. 中国辐射卫生, 2017, 26(3): 366-371.
SHI Mei-hua, LI Jong, QIU Hai-sheng, ZUO Ting, Wang Shi-yu, SHAO Hong. The Characteristic of Thyroid Lesion Present in ^99mTcO₄^- Thyroid Scintigraphy and Compute Tomography. , 2017, 26(3): 366-371.

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http://www.zgfsws.com/CN/ 或 http://www.zgfsws.com/CN/Y2017/V26/I3/366

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