慢性甲状腺炎超声声像图特征及鉴别诊断分析  

Ultrasonographic diagnosis and differential analysis of chronic thyroiditis

作　　者：夏琴[1] 

机构地区：[1]新泰市人民医院B超室,山东271200

出　　处：《中国临床新医学》2013年第5期454-456,共3页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的探讨慢性甲状腺炎的超声声像图特征及鉴别诊断方法。方法应用高分辨率二维超声结合彩色多普勒对67例慢性甲状腺炎行常规检查。结果慢性甲状腺炎超声表现多种多样,其中典型慢性甲状腺炎45例,占67.2%,非典型慢性甲状腺炎22例,占32.8%。典型慢性甲状腺炎表现为甲状腺弥漫性增大,以峡部增厚明显,内部回声多呈粗大网格状,少部分呈虫蚀样改变,回声极不均质。非典型慢性甲状腺炎表现为多发低回声结节型、光点回声增粗型和片状回声减低型。结论掌握各型慢性甲状腺炎的的超声特点及病理改变特点,可减少漏诊及误诊,为临床提供有价值的诊断依据。Objective To explore the ultrasonographie features and differential diagnosis of chronic thyroidi- tis. Methods High resolution two-dimensional ultrasonography combined with color doppler were used for routine ex- amination of 67 patients with chronic thyroiditis. Results Ultrasonic performance of chronic thyreiditis was varied. Chronic lymphocytic thyroiditis（ Hashimotos thyroiditis, HT） was found in 45 patients, accounting for 67.2%. Chro- nic fibrous thyroiditis（ Riedels thyroiditis, RT） in 22 patients, accounting for 32. 8%. Uhrasonographic features of typical chronic thyroiditis were diffuse thyroid increase, marked thickened isthmus, more coarse networx-live echo, less worm-eaten-live change, and uneven echo. Ultrasonographic features of atypical chronic thyroiditis included mul- tiple hypoeehoic nodule type, light point echo thickening type and sheet-line echo reducing type. Conclusion Maste- ring the ultrasonic characteristics and the pathological change of various types of chronic thyroiditis can reduce misdi- agnosis and missed diagnosis and provide valuable diagnostic basis for clinic.

关 键 词：慢性甲状腺炎 超声诊断 彩色多普勒 

分 类 号：R445[医药卫生—影像医学与核医学]