声触诊组织量化技术在桥本氏甲状腺炎诊断中的应用价值  

Clinical Value of Virtual Touch Tissue Quantification in the Diagnosis of Hashimoto's Thyroiditis

作　　者：林蘅蘅 翟玉霞[1] 郑仕兴 陈哲[1] 李加帆 

机构地区：[1]汕头大学医学院第二附属医院超声科,广东汕头515041

出　　处：《汕头大学医学院学报》2016年第1期49-52,共4页Journal of Shantou University Medical College

基　　金：汕头市医疗科技计划资助项目(汕府科[2014]62号-3)

摘　　要：目的:探讨声触诊组织量化技术(VTQ)在桥本氏甲状腺炎(HT)诊断中的应用价值。方法:对HT患者(60例)甲状腺进行常规超声及VTQ检查,获取相应的图像及数据。根据病程进展将HT患者分为功能正常(25例)、甲亢(23例)、和甲减(12例)组,健康志愿者(对照组)38例。结果:与对照组(1.72±0.21)比,功能正常、甲亢及甲减组VTQ值分别为(2.10±0.21),(2.37±0.17)和(2.59±0.25)m/s(P<0.01);功能正常与甲亢、甲减组VTQ值比有统计学意义(P<0.01),甲亢与甲减组比有统计学意义(P<0.05)。用受试者操作特性曲线预测HT各组甲状腺实质VTQ最佳临界值分别为1.89、2.32、2.45 m/s。结论:VTQ能为HT病程进展进行定量分析,可进一步评估HT患者甲状腺腺体的纤维化程度。Objective：To investigate the clinical value of virtual touch tissue quantification（VTQ）in the diagnosis of Hashimoto＇s thyroiditis（HT）. Methods：Sixty patients（normal function（25 cases）,hyperthyroid（23 cases）and hypothy- roidism（12 cases）groups）with HT and 38 healthy volunteers（control group）were included in this study. Thyroids of the subjects were examined by conventional ultrasound and VTQ,then acquired the images and data. Results：Compared with the control group（1.72±0.21）,the VTQ of normal function,hyperthyroid and hypothyroidism groups were（2.10±0.21）,（2.37±0.17）and（2.59±0.25）m/s,respectively（P〈0.01）. There were significant difference of VTQs between the normal function and the hyperthyroid and the hypothyroidism groups（P〈0.01）. There was significant difference between hyperthyroid and hypothyroidism groups（P〈0.05）. The best cut-off values by receiver operating characteristic were 1.89、2.32 and 2.45 m/s. Conclusion：VTQ can make quantitative analysis for progress of HT. And it can further evaluate the degree of fibrosis of thyroid gland for HT patients.

关 键 词：超声检查 声触诊组织量化技术 桥本氏甲状腺炎 

分 类 号：R445.1[医药卫生—影像医学与核医学]