CAJ | 학술논문

目的　探讨血管能量三维超声成像技术在甲状腺检查中的实际应用和技术技巧。方法　使用ATL -HDI 5000型数字化彩色多普勒超声仪的血管能量图三维检查甲状腺患者92例。采用7、11和15幅三维成像处理方法对甲状腺附属血管和实质内血流血管三维成像进行观察比较。结果　36例正常者和33例甲状腺弥漫性病变患者的甲状腺实质和23例甲状腺肿瘤的瘤体及其周围的血管三维成像获得成功。结论　三维能量血管成像对甲状腺上动、静脉和甲状腺中、下静脉的显示较为理想；对于了解弥漫性甲状腺病变时实质血管分布改变，区分肿瘤内、外血流、鉴别肿瘤边缘部位的血流归属有重要帮助作用。
목적　탐토혈관능량삼유초성성상기술재갑상선검사중적실제응용화기술기교。 방법　사용ATL -HDI 5000형수자화채색다보륵초성의적혈관능량도삼유검사갑상선환자92례。채용7、11화15폭삼유성상처리방법대갑상선부속혈관화실질내혈류혈관삼유성상진행관찰비교。 결과　36례정상자화33례갑상선미만성병변환자적갑상선실질화23례갑상선종류적류체급기주위적혈관삼유성상획득성공。 결론　삼유능량혈관성상대갑상선상동、정맥화갑상선중、하정맥적현시교위이상；대우료해미만성갑상선병변시실질혈관분포개변，구분종류내、외혈류、감별종류변연부위적혈류귀속유중요방조작용。
Objective　To evaluate the associated skills with three-dimensional color Doppler energy (3D-CDE) applying in thyroid gland (TG) examination. Methods　Ninety-two patients were examined with ATL-HDI 5000 digital color Doppler Ultrasonography. TG and its affiliated vessels and TG tumors were scanned with 3D， and compared by 7, 11 and 15 width 3D image processing protocols. Results　The images of 3D in TG and its affiliated vessels in 36 normal subjects, 33 patients with diffused TG abnormalities, and 23 patients with TG tumor were obtained successfully. Conclusion　It could be clearly identified superior TG artery and vein, middle and inferior TG vein by 3D vascular capacity image processing technique. It played an important role for using 3D vascular image processing technique to find vascular distribution in parenchyma with diffuse TG abnormalities, to distinguish the difference of the blood flow between interior and exterior of TG tumor, and to differentiate the orientation of the blood flow at the out layer of TG tumor.