桥本甲状腺炎超声诊断的回顾性分析  

Retrospective Study on Ultrasonography Diagnosis of Hashimoto's Thyroiditis

作　　者：胡欣 张淑琴[1] 于明[1] 

机构地区：[1]连云港市第一人民医院,江苏连云港222002

出　　处：《中外医学研究》2012年第14期61-62,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨二维及彩色多普勒超声对桥本甲状腺炎的诊断及鉴别诊断价值。方法:回顾性分析经病理、实验室检查及临床确诊为桥本甲状腺炎的52例患者的超声影像资料,观察二维超声图像及彩色多普勒血流分布情况。结果:52例中超声提示为桥本甲状腺炎40例,诊断符合率76.9%,提示其他甲状腺疾病12例。超声显示35例患者甲状腺体积弥漫性增大,以峡部增厚明显,回声呈弥漫性不均匀减低,其内可见不规则线样、网格样强回声带,甲状腺内部血流信号丰富;9例患者甲状腺体积正常或增大,伴多发结节,结节内部血流丰富;8例患者甲状腺体积正常或略大,内部回声局部减低,病变内部血流信号显示正常或略多。结论:超声对桥本甲状腺炎的诊断有重要价值。Objective：To evaluate the value of two-dimensional and color doppler ultrasonography in the diagnosis and differential diagnosis of Hashimoto＇s thyroiditis.Methods：Retrospective analysis was made on 52 cases with Hashimoto＇s thyroiditis confirmed by pathology,laboratory examination and clinical symptoms.The characters of two-dimensional and color doppler ultrasonography were analyzed.Results：40 cases out of 52 were diagnosed Hashimoto＇s thyroiditis by ultrasonography.The overall diagnose accordance rate was 76.9%,and the misdiagnosis were 12 cases.The ultrasonographic characteristics of 35 cases was that the volume of Thyroid were augmented,especially on the isthmus of Thyroid,the echoes were diffusely reduced,besides scattered liner or net strong echoes were appeared,more color doppler flow have been found in thyroid;9 cases demonstrate the volume of Thyroid were normal or increased,and multi-nodular,the more color doppler flow appered in the nodular.The ultrasonographic characteristics of 8 cases was that the volume of Thyroid were normal or a little increased,the echoes were partly reduced,normal or a litter more color doppler flow have been found in thyroid.Conclusion：Ultrasonography has played an important role in the diagnosis of Hashimoto＇s thyroiditis.

关 键 词：桥本甲状腺炎 超声 回顾性分析 

分 类 号：R581.4[医药卫生—内分泌]