超声诊断桥本甲状腺炎的临床分析  

Clinical Research on Ultrasonography in Diagnosis of Hashimoto Thyroiditis

作　　者：袁艳[1] 

机构地区：[1]黑龙江省森工总医院彩超室,黑龙江哈尔滨150040

出　　处：《中国卫生标准管理》2017年第17期114-116,共3页China Health Standard Management

摘　　要：目的对超声检查应用于桥本甲状腺炎临床诊断中的效果进行分析研究。方法选取77例2015年1月—2017年2月在我院接受治疗的桥本甲状腺炎患者,对以上患者的各项临床资料和超声图像资料进行回顾性分析。结果超声检查的诊断正确率为92.21%,此诊断结果与病理诊断结果基本一致,差异无统计学意义(P>0.05);甲状腺呈弥漫性肿大,峡部出现增厚情况,增粗弥漫性减低的实质回声,以上超声表现的患者人数为48例;伴有条索状高回声存在于实质内,并呈现网格状的患者14例;合并有结节的患者9例;形态不规则的低回声结节的有6例;表现为血供丰富的有56例;表现为血流信号减少的有9例;表现为血流信号没有明显变化的有12例。结论超声检查应用于桥本甲状腺炎临床诊断中的效果理想。Objective To research on the clinical ultrasonography effect in diagnosis of Hashimoto thyroiditis. Methods 77 patients with Hashimoto＇s thyroiditis who were treated in our hospital from January 2015 to February 2017 were selected. The clinical data and ultrasonic images of the patients were analyzed retrospectively. Results The diagnostic accuracy of ultrasonography was 92.21% and the diagnosis result was basically same as that of thepathologic diagnosis. Therefore, the difference was not statistically significant （P 〉 0.05）. There were 48 cases of patients expressed sonographic demonstrations of diffuse thyroid enlargement, isthmus thickening and reduced coarse-diffusing echo, and there were 14 cases with cordal high echo in the parenchyma showed in net shape. 9 cases of patients with nodules and hypoechoic nodules form, 6 cases with irregularly hypoechoic nodules form, 56 cases with abundant blood supply, 9 cases with reduced blood flow, and 12 cases with no apparent changes in blood flow. Conclusion Ultrasonography is a quite satisfactory diagnosis method for patients with hashimoto thyroiditis.

关 键 词：超声诊断 桥本甲状腺炎 效果 

分 类 号：R445[医药卫生—影像医学与核医学]