超声在桥本氏甲状腺炎诊断中的应用价值  

Value of ultrasonography in the Diagnosis of Hashimoto's Thyroiditis

作　　者：李祖坤[1] 刘健[1] 严宗逊[1] 刘晓玲[1] 张英娟[1] 

机构地区：[1]医学影像四川省重点实验室,川北医学院附属医院超声科,四川南充637000

出　　处：《激光杂志》2013年第4期112-113,共2页Laser Journal

摘　　要：目的:探讨超声在桥本氏甲状腺炎诊断中的应用价值。方法:对80例临床明确诊断的桥本氏甲状腺炎患者的二维超声及彩色多普勒超声检查结果进行回顾性分析,将超声检查结果与实验室检查结果及细针穿刺抽吸细胞学检查结果进行对照。结果:80例HT患者甲状腺均呈不同程度的弥漫性增大,以前后径、峡部及甲状腺侧叶体积增大更明显,与对照组比较,差异具有统计学意义(P<0.05)。80例HT中有68例(85.0%,68/80)呈弥漫性回声减低,其中50例(62.5%,50/80)甲状腺内可见弥漫分布线样高回声形成网格状,48例甲状腺内可见弥漫性微结节样改变(60%,48/80);有9例(10.0%,8/80)甲状腺内可见局灶性回声减低区;4例(5.0%,3/80)甲状腺内部回声改变不明显。17例(21.3%,17/80)甲状腺内可见等回声或稍高回声结节,7例(8.8%,7/80)腺体内或结节内可见的强光斑,后方伴浅淡声影。80例HT中69例甲状腺内有不同程度的彩色血流增加,甲状腺上动脉PSV及RI值较对照组升高,两者比较差异有显著性意义(P<0.05)。结论:超声检查对HT的正确诊断可提供重要依据,声像图改变与病理变化密切相关。Object：To explore the value of ultrasonnography in the diagnosis of Hashimoto＇ s Thyroid＇iris. Methods： we had analysed the results of 80 cases ofpatients with clinical diagnosis of Hashimoto s Thyroiditis retrospectively, which detecting by two - dimensional ultrasonography and color Doppler ultrasonography. And then, we had compared the results of ultrasonography to laboratory findings and Fine needle aspiration cytology. Result the thyroid glands of 80 HT cases had different degree of diffuse enlargement, which especially enlarging in anteropesterior, isthmus and lateral lobe. The difference of this compared to the control group had statistically significance （ P 〈 0.05 ）. 68 cases （ 85.0 %, 68/80） presented a diffuse echo reduction. 50 cases （62.5 %, 50/80 ）could detecta grid formed by diffuse distribution of high echo in the thyroid glands. 48 cases （60%,48/80）could observe diffuse tiny nodular changes in the thyroid glands. There are 9 cases （ 10.0%, 8/80 ） had a visible focal echo reduction in the thyroid glands. 4 eases （ 5.0%, 3/80 ） had not obvious echo changes within the thyroid. 17 cases （21.3 %, 17/80） could detect isoechoic or higher echo nodules in the thyroid glands. 7 （8.8 %, 7/80） had high facula with rear weak image in glands or nodules. 69HT cases had different degrees of color blood flow increased within the thyroid. The value of PSV and RI in superior thyroid artery are higher than the control group, which differences had statistically significance （ P 〈 0.05 ）. Conclusion The ultrasonography could provide an important basis for tilediagnosis of HT. The Ultrasonographic changes are closely related to pathologe.

关 键 词：超声 桥本氏甲状腺炎 

分 类 号：TN248.1[电子电信—物理电子学]