彩色多普勒超声诊断仪在桥本甲状腺炎与甲亢鉴别诊断中的应用  

Application of Color Doppler Ultrasound in Differential Diagnosis of Hashimoto’s Thyroiditis andHyperthyroidism

作　　者：黄培红 HUANG Pei-hong(Department of Ultrasound,Quanzhou Guangqian Hospital,Fujian Quanzhou 362300)

机构地区：[1]泉州市光前医院超声科,福建泉州362300

出　　处：《中国医疗器械信息》2023年第10期96-98,共3页China Medical Device Information

摘　　要：目的:探究彩色多普勒超声诊断仪在桥本甲状腺炎与甲亢鉴别诊断中的临床价值。方法:收集2019年1月~2021年11月本院收治的桥本甲状腺炎患者40例(设为桥本组)与甲亢患者40例(设为甲亢组)的临床资料,所有患者均采用彩色多普勒超声诊断仪进行甲状腺检查,对比两组超声检查结果、超声检查参数及甲状腺实质内流信号分布范围。结果:经超声检查,桥本组甲状腺峡部增厚、合并结节、内部网格样回声、颈部Ⅳ区与Ⅳ区淋巴结肿大发生率高于甲亢组;甲状腺上下径增大发生率低于甲亢组(P<0.05);比较两组超声检查参数,桥本组收缩期达峰时间、阻力指数高于甲亢组,患者心率、舒张末期流速、峰值速度低于甲亢组(P<0.05);比较两组甲状腺实质内流信号分布范围,桥本组0级、Ⅰ级内流信号占比高于甲亢组,Ⅱ级、Ⅲ级内流信号占比低于甲亢组(P<0.05)。结论:采用彩色多普勒超声诊断仪对桥本甲状腺炎和甲亢进行诊断,检查结果差异显著,检查结果可以作为为疾病鉴别诊断的重要依据。Objective:To explore the clinical value of color Doppler ultrasound in the differential diagnosis of hashimoto’s thyroiditis and hyperthyroidism.Methods:40 patients with Hashimoto’s thyroiditis(Hashimoto group)and 40 patients with hyperthyroidism were collected from January 2019 to November 2021(set as hyperthyroidism group).All patients underwent thyroid examination with color Doppler ultrasound diagnostic instrument.The ultrasonic examination results,ultrasonic examination parameters and the distribution range of thyroid parenchymal inflow signals were compared between the two groups.Results:Through ultrasonic examination,the thyroid isthmus in Hashimoto group was thickened,combined with nodules,internal grid like echo,and lymphadenopathy in area IV and area IV of neck the birth rate was higher than that in hyperthyroidism group;The incidence of enlargement of thyroid upper and lower diameter was lower than that in hyperthyroidism group(P<0.05);Comparing the ultrasonic examination parameters of the two groups,Hashimoto group had higher systolic peak time and resistance index than that in hyperthyroidism group,and the heart rate,end diastolic velocity and peak velocity were lower than those in hyperthyroidism group(P<0.05);Comparing the distribution range of thyroid parenchymal influx signals between the two groups,the proportion of grade 0 and grade I influx signals in Hashimoto group was higher than that in hyperthyroidism group,and the proportion of grade II and grade III influx signals was lower than that in hyperthyroidism group(P<0.05).Conclusion:The results of color Doppler ultrasonography in the diagnosis of Hashimoto’s thyroiditis and hyperthyroidism are significantly different,and the results can be used as an important basis for the differential diagnosis of the disease.

关 键 词：彩色多普勒超声诊断仪 桥本甲状腺炎 甲亢 鉴别诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学]