探讨高频彩超在甲状腺弥漫性疾病定性诊断中的效果及应用价值

To explore the effect and application value of high frequency color Doppler ultrasound in the qualitative diagnosis of thyroid diffuse disease

目的:探讨高频彩超在甲状腺弥漫性疾病定性诊断中的效果及应用价值。方法:收集我院2017年4月—收集我院2018年6月收治的60例甲状腺弥漫性疾病,采取多普勒超声对所有患者进行检查,并对甲状腺血流分布和内部回声特点进行分析。结果:甲状腺功能亢进(11例)甲状腺肿大具有对称性、弥漫性特点,肿大较为明显,病变周围血流增多;单纯性甲状腺肿(14例)甲状腺肿具有重大弥漫性,其功能未出现异常;结节性甲状腺肿(10例)甲状腺呈分叶状肿大,边界模糊;亚急性甲状腺炎(13例)甲状腺肿大具有弥漫性、结节性特点,切面处在灰色病灶处有透明胶质,镜下可见滤泡;慢性淋巴性甲状腺炎(12例)甲状腺肿大具有弥漫性、局限性特点,质地偏硬而具有弹性感,边界清晰,表面较为光滑。结论:高频彩超在甲状腺弥漫性疾病定性诊断中能准确观察出患者病症特点,对临床治疗具有重要价值。

Objective To investigate the effect and application value of high frequency color Doppler ultrasound in the qualitative diagnosis of thyroid diffuse disease. Methods 60 cases of thyroid diffuse disease admitted to our hospital from April2017 to June 2018 were collected. All patients were examined by Doppler ultrasound, and the distribution of thyroid blood flow and internal echo characteristics were analyzed. Results Hyperthyroidism(11 cases) had symmetry and diffuse features. The swelling was more obvious and the blood flow around the lesion increased. The simple goiter(14 cases) had a significant diffuse goiter and its function did not appear. Abnormal;nodular goiter(10 cases) thyroid lobular enlargement, blurred borders;subacute thyroiditis(13 cases) thyroid enlargement with diffuse, nodular features, the face is transparent in the gray lesions Glial, follicles can be seen under the microscope;chronic lymphatic thyroiditis(12 cases) have diffuse and limited thyroid enlargement, the texture is hard and elastic, the boundary is clear, and the surface is smooth. Conclusion High-frequency color Doppler ultrasound can accurately observe the characteristics of patients with thyroid diffuse disease qualitative diagnosis, which is of great value for clinical treatment.