桥本氏甲状腺炎患者甲状腺超声回声改变与血清TSH水平的关系  

Relationship between Change of Thyroid Ultrasonic Echo and Serum TSH Level in Patients with Hashimoto's Thyroiditis

作　　者：瞿博 周树云 范源[2] 刘燚 

机构地区：[1]云南省中西医结合医院,云南昆明650224 [2]云南中医学院,云南昆明650500

出　　处：《昆明医科大学学报》2015年第4期84-86,共3页Journal of Kunming Medical University

摘　　要：目的分析桥本氏甲状腺炎患者甲状腺超声回声变化与促甲状腺素(TSH)水平之间的关系.方法回顾性分析44例桥本氏甲状腺炎患者应用彩色多普勒检查,按超声回声改变将病人分为网格样改变组和回声分布不均组,分析2组之间TSH水平的差异.结果超声变化为网格样改变组的TSH水平与单纯回声分布不均组的TSH水平之间有统计学差异(P<0.01),网格样改变组血清TSH水平高于单纯分布不均组.结论桥本氏甲状腺炎患者的彩色多普勒的不同声像改变与TSH水平相关,可从超声影像学角度反映桥本甲状腺炎不同时期、不同程度的免疫病理改变,甲状腺彩色多普勒超声技术的应用对桥本甲状腺炎的诊治有较重要的参考价值.Objective To analyze the relationship between the change of thyroid ultrasonic echo and serum TSH level in patients with Hashimoto＇s thyroiditis. Methods The clinical data of 44 patients with Hashimoto＇s thyroiditis were retrospectively analyzed. Patients were divided into grid echo group and uneven distribution of the echo group according to the change of ultrasonic echo using color Doppler uhrasonography, and the difference in TSH level between two groups were analyzed and compared. higher than that in uneven distribution group, and the Results The serum TSH level in grid echo group was difference was statistically significant （P 〈 0.01） Conclusion The relationship between the appearance of the thyroiditis echo and the serum TSH could reflect the change of Hashimoto＇s thyroiditis in different period and degree of immune pathology. The application of thyroid color Doppler ultrasound technique has clinic value in the diagnosis and treatment of patients with Hashimoto＇s thyroiditis.

关 键 词：桥本氏甲状腺炎 甲状腺B超回声异常 促甲状腺激素 

分 类 号：R581[医药卫生—内分泌]