彩色多普勒超声诊断甲状腺相关性眼病的应用价值  

The application value of color Doppler ultrasound in the diagnosis of thyroid- associated ophthalmopathy

作　　者：施彦华[1] 庄韬[1] 傅强[2] 

机构地区：[1]乌鲁木齐市第四人民医院医技科,新疆乌鲁木齐832002 [2]中国人民解放军第四七四医院特诊科

出　　处：《包头医学院学报》2016年第3期25-26,共2页Journal of Baotou Medical College

摘　　要：目的:探讨彩色多普勒超声诊断甲状腺相关性眼病(thyroid associated ophthalmopathy,TAO)的应用价值。方法:选择2009年9月至2015年1月进行诊治的拟诊断为甲状腺相关性眼病患者70例为TAO组,都进行彩色多普勒超声诊断。同时选用50例正常人双眼超声作为对照组进行比较。结果:70例甲状腺相关性眼病患者彩色多普勒超声与对照组正常人双眼比较表现为,眼外肌增厚回声较低,眶周及视神经鞘膜的实体性增厚(P<0.05),偶见泪腺水肿;球后脂肪组织增厚回声减低(P<0.05);眶内压增加,血流速度较快(P<0.05)。彩色多普勒超声诊断甲状腺相关性眼病的敏感性与特异性为82.9%和96.6%。结论:彩色多普勒超声诊断甲状腺相关性眼病有很好的应用价值,值得在临床上推广应用。Objective： To discuss the application value of color Doppler ultrasound in the diagnosis of thyroid- associated ophthalmopathy（ TAO）. Methods： 70 cases of suspected TAO from September 2009 to January 2015 were selected as the TAO group in which all patients were diagnosed with color Doppler ultrasound. 50 cases of normal subjects were selected as the control group for comparison. Results： Color Doppler ultrasound in 70 patients with TAO and in 50 cases of normal human eyes was compared,and it showed thickened extraocular muscle with low echo,solid thickening on orbital and optic sheath（ P〈0. 05） and few edema of lacrimal gland; it also showed solid thickening on adipose tissue after eyeball with low echo（ P〈0. 05）; and increased orbital pressure and faster blood flow velocity were presented（ P〈0. 05）. The sensitivity and specificity of color Doppler ultrasound in the diagnosis of TAO were 82. 9% and 96. 6% respectively. Conclusion： Color Doppler ultrasound in the diagnosis of TAO has a good application value,and it is worthy of popularization and application in clinic.

关 键 词：甲状腺相关性眼病 彩色多普勒超声 应用价值 

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] R771.3[医药卫生—临床医学]