CAJ | 학술논문

目的：探讨超声在桥本氏甲状腺炎诊断中的应用价值。方法：对80例临床明确诊断的桥本氏甲状腺炎患者的二维超声及彩色多普勒超声检查结果进行回顾性分析，将超声检查结果与实验室检查结果及细针穿刺抽吸细胞学检查结果进行对照。结果：80例HT患者甲状腺均呈不同程度的弥漫性增大，以前后径、峡部及甲状腺侧叶体积增大更明显，与对照组比较，差异具有统计学意义（P＜0．05）。80例HT中有68例（85．0％，68/80）呈弥漫性回声减低，其中50例（62．5％，50/80）甲状腺内可见弥漫分布线样高回声形成网格状，48例甲状腺内可见弥漫性微结节样改变（60％，48/80）；有9例（10．0％，8/80）甲状腺内可见局灶性回声减低区；4例（5．0％，3/80）甲状腺内部回声改变不明显。17例（21．3％，17/80）甲状腺内可见等回声或稍高回声结节，7例（8．8％，7/80）腺体内或结节内可见的强光斑，后方伴浅淡声影。80例HT中69例甲状腺内有不同程度的彩色血流增加，甲状腺上动脉PSV及RI值较对照组升高，两者比较差异有显著性意义（P＜0．05）。结论：超声检查对HT的正确诊断可提供重要依据，声像图改变与病理变化密切相关。
목적：탐토초성재교본씨갑상선염진단중적응용개치。방법：대80례림상명학진단적교본씨갑상선염환자적이유초성급채색다보륵초성검사결과진행회고성분석，장초성검사결과여실험실검사결과급세침천자추흡세포학검사결과진행대조。결과：80례HT환자갑상선균정불동정도적미만성증대，이전후경、협부급갑상선측협체적증대경명현，여대조조비교，차이구유통계학의의（P＜0．05）。80례HT중유68례（85．0％，68/80）정미만성회성감저，기중50례（62．5％，50/80）갑상선내가견미만분포선양고회성형성망격상，48례갑상선내가견미만성미결절양개변（60％，48/80）；유9례（10．0％，8/80）갑상선내가견국조성회성감저구；4례（5．0％，3/80）갑상선내부회성개변불명현。17례（21．3％，17/80）갑상선내가견등회성혹초고회성결절，7례（8．8％，7/80）선체내혹결절내가견적강광반，후방반천담성영。80례HT중69례갑상선내유불동정도적채색혈류증가，갑상선상동맥PSV급RI치교대조조승고，량자비교차이유현저성의의（P＜0．05）。결론：초성검사대HT적정학진단가제공중요의거，성상도개변여병리변화밀절상관。
Object :To explore the value of ultrasonography in the diagnosis of Hashimoto ’ s Thyroiditis .Methods :we had analysed the results of 80 cases of patients with clinical diagnosis of Hashimoto ’ s Thyroiditis retrospectively , which detecting by two - dimensional ultrasonography and color Doppler ultrasonography .And then ,we had compared the results of ultrasonography to laboratory findings and Fine needle aspiration cytology .Result the thyroid glands of 80 HT cases had different degree of diffuse enlargement ,which especially enlarging in anteroposterior ,isthmus and lateral lobe .The difference of this compared to the control group had statistically significance (P<0 .05) .68 cases (85 .0% ,68/80) presented a diffuse echo reduction .50 cases (62 .5% ,50/80) could detect a grid formed by diffuse distribution of high echo in the thyroid glands .48 cases (60% ,48/80)could observe diffuse tiny nodular changes in the thyroid glands . There are 9 cases (10 .0% ,8/80) had a visible focal echo reduction in the thyroid glands .4 cases (5 .0% ,3/80) had not obvious echo changes within the thyroid .17 cases (21 .3% ,17/80) could detect isoechoic or higher echo nodules in the thyroid glands .7 (8 .8% ,7/80) had high facula with rear weak image in glands or nodules .69 HT cases had different degrees of color blood flow increased within the thyroid .The value of PSV and RI in superior thyroid artery are higher than the control group ,which differences had statistically significance (P< 0 .05) .Conclusion The ultrasonography could provide an important basis for the diagnosis of HT .The Ultrasonographic changes are closely related to pathologe .