彩色多普勒在诊断亚急性甲状腺炎中的价值.DOCVIP

彩色多普勒在诊断亚急性甲状腺炎中的临床价值 孟莉娟 欧阳征仁 基金项目： 基金项目：湖南省教育厅资助科研项目（编号： 10C1182） 作者单位：421001湖南衡阳，南华大学附属第二医院超声医学科 通信作者：欧阳征仁，yzouyang@126.com 【摘要】 目的 研究亚急性甲状腺炎（subacute thyroiditis，SAT）的声像图特点，探讨彩色多普勒诊断SAT的价值。方法 回顾性分析35例SAT患者和随机选择同期年龄相当的30名健康人（正常对照组）的甲状腺超声影像资料。结果 35例SAT患者中，双侧叶病灶10例，单侧叶病灶22例，峡部病灶3例；多发病灶19例，单发病灶16例。超声表现为甲状腺局灶性片状低回声区或结节状低回声为主。CDFI表现为低回声内部血流信号稀少，周边血流信号较丰富。与正常组比较，SAT患者体积增大（P0.05），SAT患者甲状腺上动脉收缩期血流峰速度加快（P0.05）。结论 SAT的彩色多普勒超声声像图有一定的特征，具有临床诊断价值。 【关键词】彩色多普勒超声；亚急性甲状腺炎 Clinic value of color Doppler ultrasonography in the diagnosis of subacute thyroiditis. MENG Li-juan，OUYANG Yuan-zheng. Department of Ultrasonography，Second Affiliated Hospital of University of South China，Hengyang，Hunan 421001，China Corresponding author: OUYANG Yuan-zheng，yzouyang@126.com 【Abstract】Objective To investigate the ultrasonographic characteristics and to explore the value of ultrasound in the diagnosis of subacute thyroiditis ( SAT) . Methods Ultrasonic characteristics of the thyroid in 35 patients with SAT and 30 healthy participants (as the control group ) were analyzed retrospectively. Results In the 35 patients, bilateral lesions were detected in 10 patients, unilateral lesion was found in 22 patients and isthmus of thyroid single lesions was in 3 patients. Multiple lesions were noticed in 19 patients, while single lesion w as found in 16 patients. Subacute thyroiditis lesions showed heterogeneous low echo. CDFI：More color Doppler flow have been found around lesions, no or rare inside lesions. Compared with normal group, thyreoid volume in the group with SAT lesions enlarged (P0.05) , and the superior artery peak systolic velocity in the patient with SAT lesions increased (P0.05) .Conclusions Color Doppler Ultrasonography has clinical value in the diagnosis of SAT. Key words color Doppler ultrasonography；subacute thyroiditis 亚急性甲状腺炎（subacute thyroiditis，SAT），又称De Quervain 甲状腺炎，是一种与病毒感染有关的自限性甲状腺炎，与其他甲状腺、上呼吸道及耳部感染相似[1]。本病是一种较常见的疾病，仅靠临床表现及实验室检查，诊断有一定困难。本文通过对35例SAT患者的超声图像特征分析，探讨超声对SAT