[摘要] 目的 观察多排螺旋CT诊断及鉴别诊断甲状腺癌的临床价值。 方法 选取2017年12月～2018年12月于我院治疗的56例疑似甲状腺癌患者作为研究对象，应用多排螺旋CT进行检查，并与病理检查进行对比，并对甲状腺癌与良性甲状腺疾病的肿瘤边界是否清晰、肿瘤包膜是否完整、是否出现钙化及囊变、强化程度及是否伴有颈部淋巴结转移方面进行对比。 结果 56例疑似甲状腺癌患者中，经病理证实确诊40例，余16例为甲状腺良性病变。多排螺旋CT检查诊断的准确性为83.9%(47/56)，甲状腺癌与甲状腺良性病变在肿瘤边界、肿瘤包膜、囊变、钙化、强化程度及伴有颈部淋巴结转移方面比较，差异具有显著性(P<0.05)。 结论 多排螺旋CT诊断及鉴别诊断甲状腺癌具有重要的临床价值。

    [关键词] 甲状腺癌;多排螺旋CT;准确性;病理

    [中图分类号] R730.44;R736.1 [文献标识码] B [文章编号] 1673-9701(2019)19-0122-03

    [Abstract] Objective To observe the clinical value of multi-slice spiral CT in the diagnosis and differential diagnosis of thyroid cancer. Methods A total of 56 patients with suspected thyroid cancer who were treated in our hospital from December 2017 to December 2018 were enrolled in this study. They underwent multi-slice spiral CT examination and the CT results were compared with pathological examination. Whether the tumor boundary was clear ......