正常人甲状腺超声弹性成像探究.docVIP

正常人甲状腺超声弹性成像探究 　　[摘要] 目的 探讨正常人甲状腺双侧叶腺体的超声弹性硬度、甲状腺与同侧胸锁乳突肌弹性硬度的比值及年龄、性别对甲状腺弹性硬度有无影响。 方法 对50例正常人分别进行甲状腺横断面、纵断面超声弹性扫查，分析比较双侧叶甲状腺腺体纵横断面时弹性硬度及甲状腺与同侧胸锁乳突肌弹性硬度比值，比较不同年龄段、不同性别时甲状腺组织的弹性硬度。 结果 正常人甲状腺左右侧叶横断面弹性硬度、纵断面弹性硬度比较，差异无统计学意义（P0.05）；在正常人群中，不同年龄、性别组甲状腺腺体超声弹性硬度差异无统计学意义（P0.05）。 结论 甲状腺双侧叶腺体弹性指数及其与同侧肌肉弹性指数的比值较为稳定，年龄、性别对甲状腺腺体硬度无影响。 [关键词] 甲状腺；超声；弹性成像 [中图分类号] R445.1 [文献标识码] A [文章编号] 1674-4721（2014）04（a）-0114-03 [Abstract] Objective To investigate the ultrasound elastic stiffness of bilateral leaves for human normal thyroid，the elastic stiffness ratio of thyroid to its ipsilateral sternocleidomastoid，furthermore，whether difference age and gender influence for thyroid elastic stiffness or not. Methods Thyroids of 50 healthy persons were examined by ultrasound of both transverse section and longitudinal section.The elastic stiffness in left and right thyroid，including ratio of thyroid to its ipsilateral sternocleidomastoid were compared and analyzed.The thyroid elastic stiffness in different age and gender groups were analyzed. Results In the general population，there was no significant difference in despite cross section and longitudinal section between left and right thyroids elastic stiffness （P0.05），furthermore，there were no significant differences in different age and gender groups of normal thyroid elastic stiffness （P0.05）. Conclusion Thyroid′s bilateral leaves elasticity index and ratio of thyroid to its ipsilateral sternocleidomastoid are stable.Age and gender both have no influence on the stiffness of thyroid gland. [Key words] Thyroid；Ultrasound；Elastography 甲状腺是人体最大的内分泌腺体，位于甲状软骨下紧贴气管上段，由左右侧叶和中央的峡部构成，位置较表浅。1991年由Ophir等[1]最早提出超声弹性成像（ultrasound elastography，UE），是一种可以反映生物组织弹性（或硬度）特征成像的新技术。目前甲状腺的研究主要集中于甲状腺良恶性结节的鉴别[2-5]，也有应用于弥漫性疾病[6-8]，且临床上甲状腺结节合并弥漫性病变的病例较多，甲状腺弥漫性病变将影响UE技术在甲状腺良恶性结节方面的判断。本研究探讨正常人甲状腺组织UE各参数的变化规律及年龄、性别对正常人甲状腺弹性参数有无影响，从而为甲状腺弥漫性病变及其内甲状腺结节的UE研究提供一定的参考数据。 1 资料与方法 1.1 一般资料 选取健康志愿者50例为研究对象，男26例，女24例；年龄20～80岁，平均（40.88±18.46）岁；其中青年期（18～40岁）29例，中年期