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甲状腺造影在甲状腺疾病评估中的应用

Thyroidography in evaluation of thyroid disease.

作者信息

Ram M D, Hyde G, Griffen W O

出版信息

Arch Surg. 1980 May;115(5):588-92. doi: 10.1001/archsurg.1980.01380050018005.

DOI:10.1001/archsurg.1980.01380050018005
PMID:6892877
Abstract

Thyroidography was performed in 53 patients with various thyroid disorders. In ten patients with hyperthyroidism, the procedure showed the size of the gland and the presence of nodules not suspected clinically or by scanning. It also demonstrated noticeable lymphadenopathy and lymphovenous communications. In nine patients with malignant disease of the thyroid, the pattern of contrast distribution within the gland was distinct from normal and was diagnostic. In addition, involvement of the regional lymph nodes by tumor was identified in three patients. The technique was useful in exclusion of malignant disease in two patients suspected of having cancer of the thyroid. In 26 patients with single thyroid nodules or with multinodular glands studied by this method, 19 were found to have cystic lesions and the other seven solid lesions. These results were compared with scintiscanning and ultrasonography. Based on this data, the technique seems to be useful in evaluation of thyroid disease.

摘要

对53例患有各种甲状腺疾病的患者进行了甲状腺造影检查。在10例甲状腺功能亢进患者中,该检查显示了甲状腺的大小以及临床上或扫描未怀疑的结节的存在。它还显示出明显的淋巴结病和淋巴静脉交通。在9例甲状腺恶性疾病患者中,腺体内造影剂分布模式与正常情况不同,具有诊断价值。此外,在3例患者中发现区域淋巴结有肿瘤累及。该技术对排除2例疑似甲状腺癌的患者的恶性疾病很有用。通过该方法研究的26例单发甲状腺结节或多结节性甲状腺患者中,19例发现有囊性病变,另外7例为实性病变。将这些结果与闪烁扫描和超声检查进行了比较。基于这些数据,该技术似乎对评估甲状腺疾病很有用。

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