甲状腺血管能量三维超声技术相关技巧探讨

Evaluation of the Associated Skills with Three-Dimensional Vascular Energy Ultrasonography in Thyroid

目的 探讨血管能量三维超声成像技术在甲状腺检查中的实际应用和技术技巧。方法 使用ATL HDI 5 0 0 0型数字化彩色多普勒超声仪的血管能量图三维检查甲状腺患者 92例。采用 7、11和 15幅三维成像处理方法对甲状腺附属血管和实质内血流血管三维成像进行观察比较。结果 36例正常者和 33例甲状腺弥漫性病变患者的甲状腺实质和 2 3例甲状腺肿瘤的瘤体及其周围的血管三维成像获得成功。结论 三维能量血管成像对甲状腺上动、静脉和甲状腺中、下静脉的显示较为理想 ;对于了解弥漫性甲状腺病变时实质血管分布改变 ,区分肿瘤内、外血流。

Objective To evaluate the associated skills with three dimensional color Doppler energy (3D CDE) applying in thyroid gland (TG) examination. Methods Ninety two patients were examined with ATL HDI 5000 digital color Doppler Ultrasonography. TG and its affiliated vessels and TG tumors were scanned with 3D, and compared by 7, 11 and 15 width 3D image processing protocols. Results The images of 3D in TG and its affiliated vessels in 36 normal subjects, 33 patients with diffused TG abnormalities, and 23 patients with TG tumor were obtained successfully. Conclusion It could be clearly identified superior TG artery and vein, middle and inferior TG vein by 3D vascular capacity image processing technique. It played an important role for using 3D vascular image processing technique to find vascular distribution in parenchyma with diffuse TG abnormalities, to distinguish the difference of the blood flow between interior and exterior of TG tumor, and to differentiate the orientation of the blood flow at the out layer of TG tumor. [