甲状腺疾病的彩色超声观察结果与分析  

An analysis of clinical outcomes using color Doppler ultrasound for thyroid disease

作　　者：杨秋实[1] 孙玉凤[1] 巩桂萍 

机构地区：[1]哈尔滨医科大学附属第一临床医院超声科,150001

出　　处：《中华地方病学杂志》2013年第6期687-690,共4页Chinese Journal of Endemiology

摘　　要：目的观察甲状腺指征与甲状腺疾病之间的联系，以及通过门诊数据，增进对甲状腺疾病认识。方法200例25～50岁妇女甲状腺影像学资料来自哈尔滨医科大学附属第一医院超声科。记录年龄、体质量、甲状腺体积、结节数量、结节面积、结节性质、甲状腺疾病等7项指征。以声像图改变为依据分组：无病组136例，甲状腺声像图改变基本正常；轻度组9例，声像图表现为甲状腺弥漫性肿大或合并1～2个囊性结节；中度组38例，声像图表现为甲状腺功能亢进（甲亢）或甲状腺功能低下（甲低）；重度组17例，声像图表现为甲状腺炎或合并出血、钙化。采用临床病例分析方法，应用SPSS16．0软件进行统计学分析。结果轻度组甲状腺体积、结节性质、结节面积的判别系数分别为0．085、0．196、0．695，重度组相应的数值分别为0．158、0．344、0．484，两组比较差异有统计学意义（x2：43．3、df=18、P〈0．01）。结论甲状腺结节的性质、体积、面积对于甲状腺病的病情发展意义重大，门诊彩色超声数据作为医院统计的一部分，有重要的应用和研究价值。Objective To increase the awareness of thyroid diseases through observing the relationship between ultrasound indications of thyroid and thyroid disease, and to enhance the understanding of thyroid disease through outpatient data. Methods Two hundred women aged 25 to 50 with thyroid imaging data were selected from the Department of Ultrasonography, the First Affiliated Hospital of Harbin Medical University. Seven indications including age, body weight, thyroid volume, the number of nodules＇, nodule size, nature of nodules and thyroid disease were recorded. Thyroid cases were divided into four groups based on their sonographic changes of color Doppler ultrasound ： normal group （ 136 cases） ： sonographic changes of thyroid were approximately normal ; mild degree group （9 cases） ： consisting of patients with mild thyroid disease, diffused thyroid enlargement or combined cystic nodules; moderate degree group（38 cases ）： consisting of patients with moderate thyroid disease, hyperthyroidism or hypothyroidism; severe degree group （17 cases）： consisting of patients with severe thyroid disease, thyroiditis and/or with hemorrhage and calcification. Data were analyzed using the method of clinical case observation and SPSS 16.0. Results We found that in mild degree group the discriminant coefficients of thyroid volume, the nature of thyroid nodules and nodule size were 0.085, 0.169 and 0.695; but in sever degree group the corresponding values were 0.158, 0.344 and 0.484, respectively, and the difference between the two groups was statistically significant（x2 = 43.3, df= 18, P 〈 0.01）. Conclusions The nature, size and area of thyroid nodules are closely related to the progression of thyroid disease. The color Doppler ultrasound data of outpatients as a part of hospital statistics have important theoretical and practical value.

关 键 词：甲状腺疾病 彩色多普勒 分析 

分 类 号：R445.1[医药卫生—影像医学与核医学] R581[医药卫生—诊断学]