超声检查对亚急性甲状腺炎诊断及其随访观察的临床意义

Clinical Significance of Ultrasonic Diagnosis and Follow up to the Subacute-thyroiditis

目的 探讨亚急性甲状腺炎声像表现、超声诊断及超声随访观察的临床意义。方法 用超声图像观察患者的临床诊治过程。结果 本组 53例病变侵犯两侧甲状腺 38例 ( 71 6% ) ,其中有先侵犯一侧 ,后波及对侧。声像特征 :患者甲状腺轻度肿大 ,病灶呈低回声暗区 ,边缘不规则 ,界尚清 ,无包膜等特征 ,激素治疗后 ,病灶可缩小或消失。结论 超声检查对本病的诊断。

Objective To study the ultrasonic manifestation of the subacute thyroiditis and clinical significance of ultrasonic diagnosis and follow up to the disease. Methods Monitor the whole clinical treatment course by ultrasonic images. Results Among 53 patients reported,38(71.6%) cases have bilateral thyroid infiltration with some having unilateral gland infiltrated first and then the opposite invasion. The characteristics of ultrasonic images are,the affected part of the gland increased slightly in size and foeus showed low echo area opaca with irregular edge,tidy border and without capsule. The focus can decrease in size or disappear after hormone therapy. Conclusion The ultrasonography is significant to diagnose the disease,observe and judge the therapeutic effectiveness for subacute thyroiditis patients. [