彩色多普勒超声诊断桥本氏病并与放免指标的分析比较

A comparative study between color Doppler ultrasonography and radioimmunoassay index for diagnosing Hashimoto's thyroiditis

目的提高对桥本氏病各型二维及彩色多普勒影像学的特征认识。方法回顾分析临床确诊的45例桥本氏病患者声像图,并对照比较T3、T4、TSH、TG-Ab、TM-Ab的检测结果。结果将桥本氏病归纳为四型,各型的二维声像图、彩色多普勒及放免指标也各具特征性。结论在诊断桥本氏病时,需将典型的声像图与放免各项指标密切结合,必要时行病理活检。

Objective To evaluate the characteristic of two dimensional ultrasonography(2DUS), Color Doppler ultrasonography (CDUS) and radioimmunoassay index( RIAI ) in patients with the various types of Hashimoto's thyroiditis. Methods The ultrasonographic images of 45 cases with Hashimoto's thyroiditis were reviewed retrospectively and compared with the value of FT3? FT4?TSH?TG-Ab?TM-Ab. Results Hashimoto's thyroiditis was divided into four types. Each type had its different features on 2DUS?CDUS and RIAI. Conclusions Ultrasonographic imaging should be combined closely with the value of RIAI for diagnosing Hoshimoto's thyroiditis, and sometimes biopsy is necessary.