CAJ | 학술논문

目的探讨超声弹性成像应变率值(strain ratio,SR)对桥本甲状腺炎(Hashimoto's thyroiditis,HT)的诊断价值.方法收集116例经临床确诊的HT患者,根据甲状腺功能分为甲状腺功能亢进组、甲状腺功能正常组、亚临床甲状腺功能减低组、临床甲状腺功能减低组,并以50例甲状腺功能正常者作为对照组,测量甲状腺与同侧颈部胸锁乳突肌的SR,分别统计各组间SR的差异,并分析其与血清促甲状腺激素(thyroid stimulating hormone,TSH)的相关性.结果 SR甲状腺功能亢进组＜对照组＜甲状腺功能正常组＜亚临床甲状腺功能减低组＜临床甲状腺功能减低组,HT的SR与血清TSH呈显著正相关(r =0.605,P=0.000).结论超声弹性成像SR法有助于评价HT的病程进展情况.
목적탐토초성탄성성상응변솔치(strain ratio,SR)대교본갑상선염(Hashimoto's thyroiditis,HT)적진단개치.방법 수집116례경림상학진적HT환자,근거갑상선공능분위갑상선공능항진조、갑상선공능정상조、아림상갑상선공능감저조、림상갑상선공능감저조,병이50례갑상선공능정상자작위대조조,측량갑상선여동측경부흉쇄유돌기적SR,분별통계각조간SR적차이,병분석기여혈청촉갑상선격소(thyroid stimulating hormone,TSH)적상관성.결과 SR갑상선공능항진조＜대조조＜갑상선공능정상조＜아림상갑상선공능감저조＜림상갑상선공능감저조,HT적SR여혈청TSH정현저정상관(r =0.605,P=0.000).결론 초성탄성성상SR법유조우평개HT적병정진전정황.
Objective To investigate the value of strain ratio (SR) in the diagnosis of Hashimoto's thyroiditis.Methods 116 patients who had been diagnosed clinically as Hashimoto' s thyroiditis were enrolled in the study.Those patients were classified into four groups:the hyperthyroidism group,the euthyroidism group,the subclinical hypothyroidism group,and the clinical hypothyroidism group.50volunteers with normal thyroid functions were enrolled as a control group.SR of the thyroid and sternocleidomastoid muscle of same side was calculated.The correlation coefficient between the elasiticity SR and the serum thyroid stimulating hormone (TSH) was evaluated and their differences in the diagnosis of Hashimoto's thyroiditis were compared.Results The Spearman's correlation coefficient between the SR and the serum TSH was 0.605,which was significant (P =0.000).The SR increased in an ascending order among the group with hyperthyroidism,the control group,the group with euthyroidism,the group with subclinical hypothyroidism,and the group with clinical hypothyroidism.Conclusions Elastography SR is valuable way for evaluating the progression of Hashimoto's thyroiditis.