彩色多普勒超声对桥本氏甲状腺炎与Graves病鉴别诊断的价值

The Value of Differential Diagnosis between Hashimoto's Thyroiditis and Graves Disease Using Color Doppler Ultrasound

目的探讨彩色多普勒超声对于桥本氏甲状腺炎与Graves病鉴别诊断的价值。方法应用二维及彩色多普勒超声对30例桥本氏甲状腺炎患者、30例Graves病患者进行甲状腺检查,并与30例正常对照组比较。结果 Graves病患者甲状腺上动脉收缩期峰值血流速度较桥本氏甲状腺炎明显升高,诊断界点80cm/s,鉴别诊断的灵敏度为80.0%,特异度为89.7%,ROC曲线下面积为0.84。结论彩色多普勒超声对于桥本氏甲状腺炎与Graves病的鉴别诊断具有实际意义。

Objective To discuss the value of the differential diagnosis between hashimoto＇s thyroiditis and graves disease using color doppler ultrasound. Methods Thyroid checks of 30 cases of hashimoto＇s thyroiditis patients and 30 cases of patients with graves disease have been taken and compared with 30 cases of normal control group using two-dimensional and color doppler ultrasound. Results Superior thyroid artery peak systohc velocity blood flow velocity of graves disease patients is significantly higher than patients with hashimoto＇s thyroiditis. Diagnosis of the critical point is 80cm/s, the specificity is 89.7%, the area under the ROC curve is 0.84. Conclusion There are practical significance of the differential diagnosis between hashimoto＇s thyroiditis and graves disease using color doppler ultrasound.