彩色多普勒超声对Graves病的指导治疗及预后价值.pdfVIP

56 中国超声压学杂志1997年第13卷第6期 “一』．7 彩色多普勒超声对Graves病的指导治疗及预后价值 李万根 幕如 麦坤岳L首碧丹 黄季春 R~-g-f-I dq- P1摘要通过测定Grave。病(GD)未治组17例及缓解组9倒患者的甲状腺上、 篙 速度 (PFV)，发现两组患者甲状腺上、下动脉的PFV均明显高于对照组；两组之间甲状腺上动脉的PFV有显著 差异，但甲状腺下动脉的PFV无差异性。以上结果提示：(1)甲状腺PFV的恢复迟于甲状腺功能恢复，或甲 状腺的血流状态不仅取决于甲状腺的功能状态；(2)GD的药物治疗应长于12十月；(3)甲状腺下动脉PFV 恢复较慢，对GD的预后有一定意义。 关键词彩色多普勒超声Gravas病 娶咄 甲 ^ 1；l中 姥 寻虽危 Prognostic Value of Color Doppler Ultrasound in Patients with Graves Disease Li Wangen．zeng Bidan，cai Rusen，et al Second Affiliated Hospital of Guangzheu Medical College 510260 ABSTRACT Seventeen untreated and 13 remission Imtients with Graves disea~e(GD)were examined by color Doppter ultntsour~d·The results showed that the peak flow velocity(PFV)o the superior thyroid artery of two groulm were heth significantly higher than that of contro1．The difference of PFV of the superior thyroid~tery between the two groups is markable，while it is Bot sigidfieant for the inferior thyroid artery．This indicated that 1．The PFV recovery of the thyroid ar‘ terEes lagged behind the thyroid function．2．More than 12 mc~the’*2eatment should be needed in order to obtain the thyroid artery pFV remission．3．The PFV of the thymM arteries．especially the inferior o㈣ ~qi,e the useful indices(or prognosis of the GD． KEIY WORDS Color Dopp Ler ultrasouad Grave~disease 近几年超声对甲状腺疾病诊断的敏感性和特 统计：采用t检验。 异性已明显提高，尤其对良恶性肿瘤的鉴别已总 结 果 结出规律性特征，对甲状腺高功能性疾病的诊断 也有不少认识。 ，本文则以彩色多普勒超声测定甲 各组患者两侧甲状腺上、下动脉的PFv测定 状腺各动脉的血流情况，旨在探讨其在Graves病 结果见表1和表2。可以看出，未治组及缓解组与 (GD)治疗及预后方面的指导意义。 对照组