二维及彩色多普勒超声对桥本氏病的诊断价值  

Evaluation of Two-dimensional Ultrasonography and Color Doppler Imaging in the Diagnosis of Hashimoto's Thyroiditis

作　　者：陈文[1] 张武[1] 李琼芳[1] 洪天配[1] 梁建平[1] 

机构地区：[1]北京医科大学第三医院超声科,100083

出　　处：《中国超声医学杂志》1997年第9期22-24,共3页Chinese Journal of Ultrasound in Medicine

摘　　要：本文对45例病理组织学明确诊断的桥本氏病患者进行了二维超声（2D）及彩色多普勒显像（CDI）检查，发现本病多呈弥漫性回声减低型，同时伴有甲状腺增大、其内纤维组织增生呈网格样改变等特点，仅少数患者为限局性回声减低型及多发结节型。各型病变部位均呈多血流表现，甲状腺上动脉收缩期最高流速除限局性回声减低型接近正常外，其余均较正常组明显增高。结果表明，桥本氏病的2D及CDI特点有助于临床诊断及与Graves’病相鉴别。Two-dimensional ultrasonography (2D) and color Deppler iplaging (CDI) were performed in 45 patients with Hashimoto's thyroiditis(HT) confirmed by histo-pathology,and comparod with 30 Graves' disease patients and 30 normal subjects- Most HT patients showed diffused enlarged thyroid glands with decreased and inhomogeneous echogenicity separated by linear, hyperechoic texture. Few patients lesions showed focal hypoechoic or multiple isoechoic nodules with in the glands. All the lesions in our group had CDI hypervascularity, and the peak systolic velocities of the superior thyroid artery were all increased except those patients with focal hypechoic lesions. We suggested that the 2D and CDI findings are helpful in diagnosis of Hashimoto's thyroiditis.

关 键 词：桥本病 超声波诊断 

分 类 号：R581.404[医药卫生—内分泌]