产后甲状腺炎28例超声声像图表现及分析  

28 cases of the ultrasonographic manifestation and analysis of postpartum thyroiditis

作　　者：周华玲[1] 唐潮浪[2] 张莹[3] 

机构地区：[1]浙江省嘉兴市第二医院超声科,浙江嘉兴314000 [2]武警浙江省总队医院门诊部,浙江嘉兴314000 [3]浙江大学医学院附属第二医院,浙江杭州310000

出　　处：《中国现代医生》2014年第19期79-81,F0003,共4页China Modern Doctor

基　　金：浙江省科技计划项目(2013C31002)

摘　　要：目的探讨产后甲状腺炎(PPT)超声声像图特征及其鉴别诊断。方法回顾性分析28例经临床证实为产后甲状腺炎患者的甲状腺超声声像图特征:二维条件下甲状腺大小、实质回声;彩色多普勒条件下腺体血流分布情况;频谱多普勒条件下甲状腺上动脉峰值流速(PSV)。结果甲状腺体积增大者85.7%(24/28);实质回声弥漫性减低者82.1%(23/28),局限性减低者17.9%(5/28);实质回声呈网格状改变者10.7%(3/28),伴单发或多发结节者14.3%(4/28);血流信号丰富呈"火海"征53.6%(15/28),血流信号稍增多35.7%(10/28),血流信号不明显或仅浅表1/3范围内有血流信号分布10.7%(3/28);不同组PSV显著高于对照组。结论超声对产后甲状腺炎有较高的诊断符合率,可作为PPT临床诊断的首选影像学检查方法。Objective To explore the features of postpartum thyroiditis（PPT） and its differential diagnosis. Methods 28 cases of thyroid sonographic features of clinically confirmed in patients with postpartum thyroiditis was retrospectively analyzed, included the size of thyroid under the two-dimensional condition, the real echo, the gland blood flow distribution under the color Doppler condition and the superior thyroid artery peak velocity （PSV） under the spectrum Doppler condition. Results The volume of thyroid with significantly increased accounted for 85.7% （24/28）, parenchyma echo diffuse reduction accounted for 82.1% （23/28）,limitations reduce accounted for 17.9% （5/28）, parenchyma echo with grid changed accounted for 10.7% （3/28）and with single or multiple nodules accounted for 14.3% （4/28）, blood flow signal with ＂fire sign＂ accounted for 53.6% （15/28）, with slightly increased accounted for 35.7% （10/28）, with not obvious or only superficial blood flow signals in the range of 1/3 accounted for 10.7% （3/28）. PSV was significantly higher than that of the control group. Conclusion Ultrasound diagnosis of postpartum thyroiditis has higher compliance rate, which can be used as a preferred imaging method in clinical diagnosis of PPT.

关 键 词：产后甲状腺炎 超声 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]