| 陈林,陈悦,詹维伟,周建桥,方靓,万敏,王慧芳.超声诊断亚急性甲状腺炎[J].中国医学影像技术,2010,26(9):1678~1681 |
| 超声诊断亚急性甲状腺炎 |
| Ultrasonic diagnosis of subacute thyroiditis |
| 投稿时间：2010-03-29 修订日期：2010-04-30 |
| DOI： |
| 中文关键词: 超声检查 甲状腺炎,亚急性 |
| 英文关键词:Ultrasonography Thyroiditis, subacute |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨超声诊断亚急性甲状腺炎(SAT)的价值。方法 回顾性分析65例SAT患者和70名健康志愿者(正常组)的甲状腺超声影像资料。结果 65例SAT患者中,双侧病灶19例,单侧病灶41例,峡部单独病灶5例;多发病灶35例,单发病灶者30例。所有患者超声均表现为低回声,病灶内或周边有血流信号者59例,颈部显示异常淋巴结12例,其中异常淋巴结显示血流信号5例。与正常组比较,SAT患者患侧甲状腺前后径、左右径增大和峡部增厚(P均<0.05),患侧甲状腺上动脉血流收缩期峰速度增快(P<0.05)。超声动态随访36例,治疗后全部病灶逐渐减少、缩小,其中5例完全消退。结论 超声诊断SAT具有重要临床价值。 |
| 英文摘要: |
| Objective To explore the value of ultrasound in the diagnosis of subacute thyroiditis (SAT). Methods Ultrasonic characteristics of the thyroid in 65 patients with SAT and 70 normal subjects (normal group) were analyzed retrospectively. Results In the 65 patients, bilateral lesions were detected in 19 patients, unilateral lesion was found in 41 patients and isthmus of thyroid single lesions was in 5 patients. Multiple lesions were noticed in 35 patients, while single lesion was found in 30 patients. All lesions showed low echo. Abundant signals of blood flow in lesions or the peripheral area were detected in 59 patients. Abnormal neck lymph nodes were noticed in 12 patients, with signals of blood flow in 5 patients. Compared with normal group, the anterior-posterior diameter, left-right diameter and thyroid isthmus in the group with SAT lesions enlarged (all P<0.05), and the superior artery peak systolic velocity in the side of thyroid with SAT lesions increased (P<0.05). Thirty-six patients after treatment were followed-up with dynamic ultrasoud, the size of all lesions reduced gradually, and the lesions disappeared completely in 5 patients. Conclusion Ultrasound plays an important role in diagnosis of SAT. |
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