摘要:目的评价和筛选多层螺旋CT(MSCT)在甲状腺结节良恶性鉴别诊断中的特征指标。方法回顾性分析经病理证实的105例甲状腺结节患者143个结节的MSCT资料,应用Logistic回归模型,筛选甲状腺良恶性结节鉴别的MSCT影像学特征。结果甲状腺良、恶性结节在数目、形态、边界、钙化、囊变、强化特点、边缘中断征及淋巴结肿大等征象上有统计学差异;在结节部位、最大直径上无统计学差异。Logistic回归分析:边界、钙化、强化特点有统计学差异。结论边界、钙化、强化特点是甲状腺良恶性结节鉴别的特征性预测指标。
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