超声弹性成像及声触诊组织定量技术在亚急性甲状腺炎病程分期中的应用价值  

Value of ultrasound elastography and virtual touch tissues quantitative diagnosis for subacute thyroiditis in different stages

作　　者：田文娟[1] 邢伟[2] 张凡[3] 

机构地区：[1]江苏省常州市第三人民医院超声科,213001 [2]苏州大学附属第三医院影像科 [3]江苏省常州市第三人民医院内分泌科,213001

出　　处：《临床超声医学杂志》2016年第8期538-541,共4页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨超声弹性成像(UE)及声触诊组织定量(VTQ)技术在亚急性甲状腺炎(SAT)病程分期中的临床应用价值。方法将34例SAT患者共45个病灶按病程进展分为急性期、中期及恢复期,应用常规超声、UE及VTQ技术检查并比较病灶在各分期中的声像图特征。结果随病程进展,病灶内血流分级在急性期、中期及恢复期依次呈递增趋势;弹性分级中,Ⅰ、Ⅱ级依次呈递增趋势,Ⅲ、Ⅳ级呈减低趋势;剪切波速度在急性期、中期及恢复期分别为(5.15±1.06)m/s、(2.81±0.26)m/s及(1.89±0.15)m/s,差异均有统计学意义(均P<0.05)。结论 UE及VTQ技术能够重复、无创、直观、定量地反映SAT病程分期中病灶区组织的硬度,为其诊断及分期诊断、判断疗效提供了新的辅助检测方法。Objective To investigate the clinical value of ultrasound elastography（UE） and virtual touch tissue quantification（VTQ）diagnosis for subacute thyroiditis（SAT） in different stages. Methods Thirty-four SAT patients with 45 lesions were divided into acute stage,medium stage and recovery stage. Conventional ultrasound,UE and VTQ examinations were performed on all patients, and related parameters were compared. Results The blood flow of lesions was increased with the staging. The shear wave velocity were（5.15 ±1.06）m/s,（2.81 ±0.26）m/s and（1.89 ±0.15）m/s in acute stage,medium stage and recovery stages,respectively,there were significant difference（P〈0.05）. Conclusion UE and VTQ technology are simple,noninvasive tools for SAT diagnosis intuitively and quantitatively.

关 键 词：超声弹性成像 声触诊组织定量 亚急性甲状腺炎 病程分期 

分 类 号：R322.51[医药卫生—人体解剖和组织胚胎学] R445.1[医药卫生—基础医学]