Graves病与自身免疫性甲状腺炎在B超甲状腺上动脉血流参数上的比较  

Comparison of Superior Thyroid Artery Blood Flow Parameters Measured by B-ultrasonics in the Differential Diagnosis of Graves'Disease and Hashimoto's Thyroiditis

作　　者：周瑞麒 周变 ZHOU Rui-qi;ZHOU Bian(Functional Department,The Affiliated Hospital of Shanxi Yuncheng Nursing Vocational College,Yuncheng 044000,Shanxi Province,China)

机构地区：[1]运城护理职业学院附属医院功能科,山西运城044000

出　　处：《罕少疾病杂志》2025年第4期24-26,共3页Journal of Rare and Uncommon Diseases

摘　　要：目的探究B超甲状腺上动脉血流参数对格雷夫斯(Graves)病与自身免疫性甲状腺炎(HT)鉴别诊断中应用价值。方法对医院2021年4月至2022年6月收治39例Graves病与64例HT患者资料予以回顾性分析,分别作为Graves组与HT组,患者均接受B超检查。比较Graves组与HT组患者二维超声表现,甲状腺血流情况,分析彩色超声测定指标对于Graves与HT鉴别价值。结果Graves组与HT组患者甲状腺右叶前后径、左叶前后径、峡部厚度、回声信号、低回声比例比较没有统计学意义(P>0.05),Graves组患者网格样回声比例低于HT组(P<0.05);Graves组与HT组患者右侧上动脉内径、左侧上动脉内径、阻力指数(RI)以及血流信号分级比较没有统计学意义(P>0.05),Graves组患者收缩期最大流速(PSV)、舒张末期血流速度(EDV)均显著低于HT组(P<0.05);受试者操作特征曲线显示,网格样回声、PSV、EDV及各指标联合用于Graves与HT鉴别曲线下面积分别为0.837、0.845、0.729、0.960。结论B超下甲状腺上动脉血流参数PSV、EDV可以为Graves与HT鉴别提供参考依据,结合二维超声的网络样回声有助于提高两种疾病的鉴别价值。Objective To investigate the application value of superior thyroid artery blood flow parameters measured by b-ultrasonics in the differential diagnosis of Graves’disease and Hashimoto’s thyroiditis(HT).Methods The data of 39 patients with Graves’disease and 64 patients with HT who were admitted to the hospital from April 2021 to June 2022 were retrospectively analyzed.All patients received b-ultrasonics.The two-dimensional ultrasound findings and thyroid blood flow were compared between the groups,and the value of indicators measured by b-ultrasonics in the differential diagnosis Graves’disease and HT was analyzed.Results The anteroposterior diameters of right thyroid lobe and left lobe,the thickness of the isthmus,echo and low echo ratio showed no significant difference between the groups(P>0.05).The proportion of grid echoes in the Graves’disease group was lower than that in the HT group(P<0.05),but there was no significant difference between the groups in the inner diameter of right superior artery,the inner diameter of left superior artery,resistance index(RI)and the grade of blood flow signal(P>0.05).The peak systolic velocity(PSV)and end-diastolic velocity(EDV)in the Graves’disease group were significantly lower than those in the HT group(P<0.05).The areas under the receiver operating characteristic curve of grid echo,PSV,EDV alone and in combination to distinguish Graves’disease from HT were 0.837,0.845,0.729,and 0.960,respectively.Conclusion The superior thyroid artery blood flow parameters(PSV and EDV)measured by b-ultrasonics provides reference for the differential diagnosis of Graves'disease and HT.The combined use of the two with grid echo in two-dimensional ultrasound can help to improve the performance of differential diagnosis.

关 键 词：B超 甲状腺上动脉血流 格雷夫斯病 自身免疫性甲状腺炎 

分 类 号：R581.4[医药卫生—内分泌]