超声弹性成像指导临床治疗亚急性甲状腺炎的应用价值  

The Value of Clinical Treatment of Subacute Thyroiditis Under the Guidance of Ultrasound Elastography

作　　者：杜启亘[1] 郑美华[1] 陈巍[1] 周立平[1] 

机构地区：[1]黑龙江中医药大学附属第二医院彩超室,哈尔滨150001

出　　处：《航空航天医学杂志》2015年第5期576-578,共3页Journal of Aerospace medicine

摘　　要：目的分析超声弹性成像技术在亚急性甲状腺炎(subacute thyroiditis,SAT)治疗过程中的弹性图像特征,探讨其指导临床用药及判断疗效的价值。方法 82例SAT患者,随机分为两组,治疗组和对照组各41例,均接受超声弹性检查并进行组间比较,根据超声弹性声像图特征观察疗效并指导用药。结果 1治疗组的治愈率明显高于对照组,且复发率及治疗时间明显低于对照组,差异具有统计学意义(P<0.05);2在临床症状消失但弹性成像提示原病灶区仍有以蓝色为主的小病灶时自行停药后复发率较高,以泼尼松治疗组为著。结论 SAT超声弹性图像具有一定的特征性表现,超声弹性成像可指导临床治疗SAT,且可作为临床停药的参考标准;柴胡瘿瘤颗粒配伍泼尼松治疗SAT具有疗程短,疗效好且复发率低等优点。Objective To analyze the ultrasound elastography in the subacute thyroiditis elastic image characteristics in the process of treatment, explore its value of clinical treatment and to determine the efficacy. Methods 82 eases with SAT were randomly divided into two groups, the treatment group and the control group. All the subjects underwent ultra- sound elastography and comparison between groups. According to ultrasound elasticity imaging features guide therapy. Results The cure rate was significantly higher in the treatment group, and the relapse rate and treatment time was sig- nificantly lower than the control group （ P 〈 0.05 ）. Recurrence rate is high when the original lesion area is still mainly blue with ultrasound elastography and clinical symptoms disappeared after self- withdrawal. Conclusions Ultrasound e- lasticity image of subjects with SAT has certain characteristic features. It can guide clinical treatment SAT, and can be used as a reference standard clinical withdrawal. To treat SAT in compatibility of bupleurum gall particles with predni- sane has a treatment short course, good curative effectand low recurrence rate.

关 键 词：超声弹性成像 亚急性甲状腺炎 柴胡瘿瘤颗粒 泼尼松 

分 类 号：R445.1[医药卫生—影像医学与核医学]