桥本甲状腺炎声像图与甲状腺功能指标的相关分析  

The analysis of correlation between ultrasonic image and thyroid functional parameters in Hashimoto’s thyroiditis

作　　者：郭玉萍[1] 刘娟娟[1] 丛淑珍[1] 李妙姗[1] 钱隽[1] 

机构地区：[1]广东省人民医院广东省医学科学院超声科,广东广州510120

出　　处：《中国临床医学影像杂志》2013年第7期461-464,共4页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨桥本甲状腺炎超声图像特征与甲状腺功能指标的相关性。方法:回顾性分析68例临床确诊为桥本甲状腺炎患者的甲状腺二维及彩色多普勒(CDFI)超声图像特征,并与同期血甲状腺功能指标(包括FT3、FT4、TSH)结果相对照。结果:68例桥本甲状腺炎患者根据甲状腺功能指标检验结果分正常组、亢进组、减低组;各组间二维图像分型及血流分级均有统计学意义(P<0.01):局灶性回声减低型主要见于正常组(7/8,87.5%),弥漫性回声增强型主要见于减低组(4/5,80%);CDFI方面,0级主要见于正常及减低组(21/22,95.45%),Ⅰ-Ⅱ级主要见于正常和亢进组(37/42,88.1%),Ⅲ级仅见于亢进组(4/4,100%)。其中弥漫性回声减低型甲状腺实质内的血流分级与甲状腺功能有统计学意义(P<0.01)。结论:桥本甲状腺炎超声图像与甲状腺功能指标有一定的相关性,使用二维及CDFI能间接反应桥本甲状腺炎的甲状腺功能状态,协助临床进行诊断治疗。Objective： To investigate the correlation between ultrasonic image and thyroid functional parameters in Hashimoto’s thyroiditis（HT）.Methods： The 2-Dimentional and color Doppler ultrasonographic features of 68 patients clinically diagnosed as HT were analyzed,and the results were compared with thyroid functional parameters（includes FT3,FT4,TSH）.Results： All cases were divided into three groups according to the thyroid functional results： normal group,hyperthyroidism group and hypothyroidism group;ultrasonografic features and blood flow grades were different in each group with statistical significance（P0.01）： focal hypoechoic patterns appeared in normal group（7/8,87.5%）,diffuse hyperechoic patterns appeared in hypothyroidism group（4/5,80%）;In CDFI,grade 0 appeared in normal group and hypothyroidism group（21/22,95.45%）,grade Ⅰ~Ⅱ appeared in normal group and hyperthyroidism group（37/42,88.1%）,grade Ⅲ only appeared in hyperthyroidism group（4/4,100%）.The correlation between blood flow grades and thyroid function was statistically significant only in diffuse hypoechoic pattern（P0.01）.Conclusions： The ultrasound image of HT was related to thyroid functional parameters,and could partly reflect thyroid function in helping clinical diagnosis and treatment.

关 键 词：甲状腺炎 自身免疫性 超声检查 多普勒 彩色 

分 类 号：R581.4[医药卫生—内分泌] R445.1[医药卫生—内科学]