[放射性核素显像鉴别宫颈肿块来源的临床价值]。

Wei Cao, Yanjun Wang, Jianxin Yue, Guoxiang Cao, Yongxue Zhang
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引用次数: 0

摘要

目的:探讨甲状腺影像学在鉴别宫颈肿块来源的临床价值。方法:对69例宫颈肿块患者行99mtc超声检查。部分冷性或冷性结节患者行99Tc-MIBI热点成像和灌注成像。将甲状腺影像学检查结果与随访及组织病理学结果进行比较。结果:69例患者中有33例发现甲状腺结节,36例肿块位于甲状腺外。33例甲状腺结节中有12例为亚急性甲状腺炎。2例甲状腺舌管囊肿为异位甲状腺。36例甲状腺外肿物中27例为甲状舌管囊肿。结论:99m tc -高技术显像、99mTc-MIBI热点显像和灌注显像有助于鉴别宫颈肿块的来源,鉴别甲状腺异位与甲状腺舌管囊肿。
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[Clinical value of radionuclide imaging in differentiate the origin of cervical mass].

Objective: To study the clinical value of thyroid imaging in differentiate the origin cervical mass.

Method: Sixty-nine patients with cervical mass were subjected to 99mTc-pertechnetate imaging. 99Tc-MIBI hot spot imaging and perfusion imaging were performed in some of patients with cold or cool nodules. The findings of thyroid imaging were compared with follow up and histopathologic results.

Result: Thirty-three of 69 patients were found with thyroid nodules, 36 patients mass were outside thyroid. Twelve of 33 thyroid nodules were found to be subacute thyroiditis. Two cases regarded as thyroglossal duct cyst were found to be ectopic thyroid glands. Twenty-seven of 36 masses out side thyroid were thyroglossal duct cysts.

Conclusion: 99m Tc-pertechnetate imaging, 99mTc-MIBI hot spot imaging and perfusion imaging are useful to differentiate the origin of cervical mass, and differentiate ectopic thyroid from thyroglossal duct cyst.

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