彩色多普勒超声在Graves病与暂时性甲状腺毒症鉴别诊断中的意义.pdfVIP

874 Clinical Medical Journal of China．2007．Vo1．14，No．6 中国I临床医学 2007年I2月 第 14卷 第6期 · 论著 · 彩色多普勒超声在Graves病与暂时性甲状腺毒症 鉴别诊断中的意义 刘 红 赵晓龙 吴 唏 王意达 戴训芦 摘要 目的：探讨彩色多普勒超声在(．}raves病与暂时性甲状腺毒症鉴别诊断q-的临床意义。方法：采用彩色多普勒超声对未 经治疗的21例Graves病患者、1 7例暂时性甲状腺毒症患者以及1 5例正常对照者的甲状腺内血流分布、甲状腺上动脉(STA) 的各项血流参数和2维声像图进行检测。结果：Graves病组的甲状腺内血流丰富，STA的血流收缩期峰值(PSV)、内径宽度 (D)以及甲状腺峡部的厚度均明显高于暂时性甲状腺毒症组和正常对照组(P0．01)，后两组之间的则无明显差异(P 0．05)。结论：彩色多普勒超声检查有助于两组疾病鉴别诊断。 关键词 Graves病； 暂时性甲状腺毒症； 彩色多普勒超声 中图分类号 R445．1 文献标识码 A Clinical Significance of Color-doppler Ultrasound in Differential Diagnosis of Graves’Disease and Transient Hyperthyr0t0xic0sis LJU Hong ZHA0 Xiaolong W U X WANG Yida DJA Xunlu Depart— ment of EndocrinO zOgy， Department of Ultrasonic Medicine，Huashan Hospital，Fudan University， Shanghai 200040 Abstract Objective：To investigate clinical significance of color-doppler ultrasound in distinguishing Graves’disease from transient hyperthyrotoxicosis．Methods：The blood flow distribution，blood flow parameters and 2D ultrasonography were exam— ined in both the thyroid and superior thyroid artery(STA)of twenty—one patients with untreated Graves’disease(GD group)， of seventeen patients with untreated transient hyperthyrotoxicosis(TH group)and of fifteen normal subjects(normal group)by color dopple ultrasound．Results：Rich flow showed in the thyroid of the GD group，mean peak systolic velocity(PSV)，diame— ter(D)of STA and thickness of thyroid’s isthmus were significantly higher in GD group than those in TH group and normal group(P0．01)．However，there were no differences in TH group and normal group(PO．05)．Conclusion：Color-doppler ul— trasound may be helpful to differential diagnosis of Grax，es’disease and transient hyperthyrotoxicosis． Key Words Graves’disease： lransient hy1)crthyrotoxicosis； Color—doppler ultrasound