桥本甲状腺炎的超声诊断价值

The Value of Ultrasonography in Diagnosis of Hashimoto Thyroiditis

目的分析探讨桥本甲状腺炎的超声诊断价值,为临床治疗桥本甲状腺炎提供参考依据。方法选择我院收治的经病理证实的桥本甲状腺炎患者103例作为研究对象,收治时间在2010年3月21日~2015年3月20日,103例患者均采取超声诊断,并在诊断结束后,将其诊断结果与病理诊断结果进行对比。结果超声诊断结果表明,103例超声诊断桥本甲状腺炎患者中,共92例患者确诊为桥本甲状腺炎,临床确诊率为89.32%,此诊断结果与病理诊断结果基本一致（P〉0.05）。超声诊断的影像学特点：61例甲状腺呈弥漫性肿大,峡部增厚,实质回声增粗弥漫性减低;21例患者实质内伴有条索状高回声,并呈网格状;14例合并有结节;7例表现出低回声结节;75例血供丰富。结论超声诊断桥本甲状腺炎具有积极的临床诊断价值,可全面反映桥本甲状腺炎的病变情况,且临床确诊率较高,可为患者的临床治疗提供较为准确的参考依据。

Objective To explore the value of ultrasonography on diagnosis of hashimoto thyroiditis,provide reference basis for clinical treatment of hashimoto＇s thyroiditis. Methods Selected our hospital confirmed by pathology of hashimoto thyroiditis patients 103 cases as the research object,the treating time on March 21,2010 to March 20,2015,the diagnosis and pathological diagnosis were compared. Results Ultrasonic diagnosis results showed that 103 cases of ultrasound in the diagnosis of hashimoto thyroiditis patients,a total of 92 patients diagnosed with hashimoto thyroiditis. Clinical diagnosis rate was 89.32%,the diagnosis and pathological diagnosis results were basically identical（P〈0.05）. Ultrasound diagnostic imaging features ：61 cases of thyroid were diffuse enlargement,thickening of spondylolysis,substantial enlargement of the echo diffuse reduce. 21 patients in essence with the funicular high echo, and the grid. 14 cases with nodular. 7 cases showed low echo nodules.75 cases of blood supply is rich. Conclusion Ultrasound in the diagnosis of hashimoto thyroiditis had positive clinical diagnosis value,can fully reflect the hashimoto thyroiditis lesions,and clinical diagnosis rate is higher,can provide more accurate for the clinical treatment of the reference.