温州医科大学学报
溫州醫科大學學報
온주의과대학학보
Journal of Wenzhou Medical University
2015年
10期
744-747,752
,共5页
杨美琴%刘桂林%方明%洪源有
楊美琴%劉桂林%方明%洪源有
양미금%류계림%방명%홍원유
超声检查,多普勒,彩色%超声弹性成像%弥漫性毒性甲状腺肿%桥本氏甲状腺炎
超聲檢查,多普勒,綵色%超聲彈性成像%瀰漫性毒性甲狀腺腫%橋本氏甲狀腺炎
초성검사,다보륵,채색%초성탄성성상%미만성독성갑상선종%교본씨갑상선염
ultrasound,Doppler,color%ultrasound elastography%Graves disease%Hashimoto’s thyroiditis
目的：探讨超声弹性成像对弥漫性毒性甲状腺肿（Graves病）与桥本氏甲状腺炎（HT）的鉴别意义。方法：选取2011年5月至2013年11月在我院初诊为Graves病和HT的患者220例，分为Graves组（n=112）和HT组（n=108）。采用常规彩超观察并记录甲状腺大小、形态、回声特征、血流情况，采用弹性成像分析并记录甲状腺弹性评分、相对应变值平均值（MEAN）和蓝色面积比例（%AREA）。对比常规彩超与联合超声的诊断准确率。结果：2组甲状腺体积、回声分级和血流分级差异无统计学意义（P＞0.05）。Graves组以散在低回声为主，HT组以弥漫性低回声为主，有网格样强回声。Graves组收缩期峰值流速（PSV）、舒张末期流速（EDV）均大于HT组，差异有统计学意义（P＜0.05）。弹性成像分析显示，HT组弹性评分、%AREA均大于Graves组，但MEAN小于Graves组，差异有统计学意义（P＜0.05）。彩超联合弹性成像对Graves病、HT鉴别诊断准确率高于常规彩超组，差异有统计学意义（P＜0.05）。结论：弹性成像能够提高超声诊断Graves病、HT的准确率。
目的：探討超聲彈性成像對瀰漫性毒性甲狀腺腫（Graves病）與橋本氏甲狀腺炎（HT）的鑒彆意義。方法：選取2011年5月至2013年11月在我院初診為Graves病和HT的患者220例，分為Graves組（n=112）和HT組（n=108）。採用常規綵超觀察併記錄甲狀腺大小、形態、迴聲特徵、血流情況，採用彈性成像分析併記錄甲狀腺彈性評分、相對應變值平均值（MEAN）和藍色麵積比例（%AREA）。對比常規綵超與聯閤超聲的診斷準確率。結果：2組甲狀腺體積、迴聲分級和血流分級差異無統計學意義（P＞0.05）。Graves組以散在低迴聲為主，HT組以瀰漫性低迴聲為主，有網格樣彊迴聲。Graves組收縮期峰值流速（PSV）、舒張末期流速（EDV）均大于HT組，差異有統計學意義（P＜0.05）。彈性成像分析顯示，HT組彈性評分、%AREA均大于Graves組，但MEAN小于Graves組，差異有統計學意義（P＜0.05）。綵超聯閤彈性成像對Graves病、HT鑒彆診斷準確率高于常規綵超組，差異有統計學意義（P＜0.05）。結論：彈性成像能夠提高超聲診斷Graves病、HT的準確率。
목적：탐토초성탄성성상대미만성독성갑상선종（Graves병）여교본씨갑상선염（HT）적감별의의。방법：선취2011년5월지2013년11월재아원초진위Graves병화HT적환자220례，분위Graves조（n=112）화HT조（n=108）。채용상규채초관찰병기록갑상선대소、형태、회성특정、혈류정황，채용탄성성상분석병기록갑상선탄성평분、상대응변치평균치（MEAN）화람색면적비례（%AREA）。대비상규채초여연합초성적진단준학솔。결과：2조갑상선체적、회성분급화혈류분급차이무통계학의의（P＞0.05）。Graves조이산재저회성위주，HT조이미만성저회성위주，유망격양강회성。Graves조수축기봉치류속（PSV）、서장말기류속（EDV）균대우HT조，차이유통계학의의（P＜0.05）。탄성성상분석현시，HT조탄성평분、%AREA균대우Graves조，단MEAN소우Graves조，차이유통계학의의（P＜0.05）。채초연합탄성성상대Graves병、HT감별진단준학솔고우상규채초조，차이유통계학의의（P＜0.05）。결론：탄성성상능구제고초성진단Graves병、HT적준학솔。
Objective: To investigate the value of ultrasound elastography in the diagnosis of Graves disease and Hashimoto’s thyroiditis. Methods:One hundred and twelve patients with Graves disease and 108 patients with Hashimoto’s thyroiditis (HT) were included in this study between May 2011 and November 2013 in our hospital. Thyroid size, shape, echo characteristics, blood condition were observed and recorded by color Doppler ultrasound. In addition, elastic score, the average value of the relative strain (MEAN) and the blue area ratio (AREA) were gained by ultrasound elastography. The diagnostic accuracy of color Doppler ultrasound and ultrasound elastography were compared. Results:No signiifcant difference was detected in thyroid size, echo characteristics and blood lfow classiifcation (P>0.05). Graves group was mainly charactered by scattered hy-poechoic echo-based distribution, and HT group was mainly charactered by diffuse hypoechoic echo-based distri-bution. PSV, EDV in Graves group were signiifcantly higher than those in HT group (P<0.05). Elastic score and%AREA in HT group were signiifcantly higher, but MEAN in HT group was signiifcantly lower. The diagnostic accuracy of color Doppler ultrasound combined elastography was signiifcantly higher than that of color Doppler ultrasound (P<0.05). Conclusion:Color Doppler ultrasound combined with ultrasound elastography may play a role in the diagnosis of Graves disease and Hashimoto’s thyroiditis.
