超声鉴别诊断桥本氏甲状腺炎与甲状腺功能亢进症的价值

The value of ultrasound in differential diagnosis of Hashimoto's thyroiditis and hyperthyroidism

目的:研究二维超声与彩色多普勒超声应用在桥本氏甲状腺炎与甲状腺功能亢进症中的临床诊断价值。方法:选取前来我院住院患者就诊的桥本氏甲状腺炎50例与甲状腺功能亢进症50例患者作为研究对象,将其命名为桥本组与甲亢组,并选取同期前来我院正常检查者50例作为对照组,所有患者均应用超声检查,对比分析三组甲状腺大小、形态与回声,并观察各组甲状腺上动脉的PSV、EDV、RI指标。结果:二维超声下,对照组甲状腺形态规则,腺体内部的回声较为均匀,甲亢组甲状腺呈现弥漫性肿大,形态较为饱满,桥本组两侧甲状腺呈现不均质增厚,部分患者有明显的分隔状;彩色多普勒超声下,对照组甲状腺内表现为点状或条索状血流信号,桥本组呈现多血流信号,甲亢组则呈现丰富血流信号,桥本组与甲亢组患者PSV与EDV显著快于对照组,组间差异具有统计学意义,而甲亢组与桥本组比较,甲亢组呈现更快趋势,三组在RI比较方面无差异。结论:二维超声与彩色多普勒超声诊断桥本氏甲状腺炎与甲状腺功能亢进症的价值明显,能够有效、准确、快速的鉴别病症,为临床诊断提供了依据。

Objective To study the clinical diagnostic value of two-dimensional ultrasound and color Doppler ultrasound in Hashimoto’s thyroiditis and hyperthyroidism. Method Twenty-nine patients with Hashimoto’s thyroiditis and 50 patients with hyperthyroidism who came to our hospital for outpatient treatment were selected as the study subjects. They were named as Hashimoto group and hyperthyroidism group, and 50 cases were selected from the normal examination in our hospital. As a control group, all patients were examined by ultrasound. The size, morphology and echo of the three groups of thyroid were compared and the PSV, EDV and RI indexes of the upper thyroid artery were observed. Result Under two-dimensional ultrasound, the thyroid morphology of the control group was regular, and the echo inside the gland was more uniform. The thyroid gland of the hyperthyroid group was diffusely enlarged and the shape was full. The thyroid gland in the Hashimoto group showed heterogeneous thickening, and some patients had obvious Separated;under color Doppler ultrasound, the thyroid gland showed punctate or cord-like blood flow signals, the bridge group showed multiple blood flow signals, and the hyperthyroidism group showed abundant blood flow signals. Hashimoto group and hyperthyroidism group Patients with PSV and EDV were significantly faster than the control group, and the difference between the groups was statistically significant. Compared with the Hashimoto group, the hyperthyroidism group showed a faster trend, and the three groups had no difference in RI comparison. Conclusion Two-dimensional ultrasound and color Doppler ultrasound in the diagnosis of Hashimoto’s thyroiditis and hyperthyroidism are of obvious value, can effectively, accurately and quickly identify the disease, providing a basis for clinical diagnosis.