甲状腺疾病的超声诊断  

The Diagnosis of Thyroid Diseases by Ultrasound

作　　者：李飞[1] 李林[1] 茅劲草[1] 蔺锡淑 

机构地区：[1]中国人民解放军第二五四医院,天津300142

出　　处：《天津医药》1997年第11期661-664,共4页Tianjin Medical Journal

摘　　要：对131例甲状腺疾病进行了回顾性研究。探讨二维图像(2D)、彩色及脉冲多普勒超声(CD及PD)联合应用对各类甲状腺疾病的诊断价值。将病变组按病理、手术及T_3、T_4结果分为6组,即甲亢组、结节性甲状腺肿组(结甲)、甲状腺腺瘤组(腺瘤)、甲状腺炎组(甲腺炎)、桥本氏甲状腺炎组(桥本病)及甲状腺癌组(甲癌)。观察各组2D及CD特点,将各病变组PD血流指数与正常对照组进行两样本均数比较。结果显示86％腺瘤周边有动脉血管环绕;结甲的结节内无或仪有稀疏血流信号;甲亢者有典型的“火焰征”;甲癌血流速及阻力指数增加,且有动脉血管呈枝状自肿瘤边缘向内部延伸;甲状腺炎则有高流低阻表现。The retrospective study has been carried out on 131 patients who were diagnosed as having thyroid diseases. The diagnostic values of the combination technique of the two-dimensional ultrasound (2D), color and pulse Doppler(CD and PD) on the different kinds of thyroid diseases were evaluated. The patients were divided into six groups according to the pathological findings,operations and T3 T4 measurements : group 1 thyroidism. group 2 nodes of the nontoxic goiters. group 3 thyroid adenomas, group 4 thyroiditis, group 5 chronic lymphocytic thyroiditis and group 6 thyroid cancers. The characteristics of . each group on the 2D and CD were observed and means of the flow indexes of pulse Doppler between disease groups and normal control were also compared. The results showed that 86% thyroid adenomas were encircled by arteries, there was a few or no flow signal in the nodes of the nontoxic goiters. The 'flame symbol' was found in thyroidism and the resistance indexes of the flow went up markedly in the thyroid cancers,also some arteries like branches stretching from the edge into the center of cancers. Thyroiditis presented higher flow and lower indexes than the normal control, which could be distinguished from the rest groups.

关 键 词：甲状腺疾病 超声波诊断 

分 类 号：R581.104[医药卫生—内分泌]