甲状腺疾病的超声诊断  

The Diagnosis of Thyriod Dieases by Ultrasound

作　　者：李飞[1] 李林[1] 茅劲草[1] 杨浩[2] 

机构地区：[1]天津解放军254医院,300142 [2]第三军医大学新桥医院超声科

出　　处：《临床超声医学杂志》1997年第2期74-78,共5页Journal of Clinical Ultrasound in Medicine

摘　　要：本文对131例甲状腺疾患进行了回顾性研究。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。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;结节性甲状腺肿的结节内无或仅有稀疏血流信号;甲亢者有典型的“火焰型”;甲状腺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 retrospectively study has been carried out on the 131 patients who were diagnosed as the thyriod diseases. The diagnostic values of the combination technique of the two-dimensional ultrasond (2D),color and pulse Doppler (CD and PD) on the different kinds of thyriod diseases were evaluated. The characteristics of each group on the 2D and CD were taken and means of the flow indexes of pulse Doppler between diseases groups and normal control were also compared. The results showed 86% Thyroid adenomas were encircled by arteries t There was a few or no flow signal in the nodes of the nontoxic goiters; The flame symbol awas found in thyroidism; 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 the cancers. Thyroiditis presented higher flow and lower indexes than the normal control. which can be distinguished from the rest groups.

关 键 词：甲状腺疾病 阻力指数 超声波诊断 

分 类 号：R581.04[医药卫生—内分泌] R445.1[医药卫生—内科学]