| 摘要: |
| ［摘要］ 目的 探讨慢性甲状腺炎的超声声像图特征及鉴别诊断方法。方法 应用高分辨率二维超声结合彩色多普勒对67例慢性甲状腺炎行常规检查。结果 慢性甲状腺炎超声表现多种多样,其中典型慢性甲状腺炎45例,占67.2%,非典型慢性甲状腺炎22例,占32.8%。典型慢性甲状腺炎表现为甲状腺弥漫性增大,以峡部增厚明显,内部回声多呈粗大网格状,少部分呈虫蚀样改变,回声极不均质。非典型慢性甲状腺炎表现为多发低回声结节型、光点回声增粗型和片状回声减低型。结论 掌握各型慢性甲状腺炎的的超声特点及病理改变特点,可减少漏诊及误诊,为临床提供有价值的诊断依据。 |
| 关键词: 慢性甲状腺炎 超声诊断 彩色多普勒 |
| DOI：10.3969/j.issn.1674-3806.2013.05.18 |
| 分类号:R 445 |
| 基金项目: |
|
| Ultrasonographic diagnosis and differential analysis of chronic thyroiditis |
|
XIA Qin
|
|
Deparment of Ultrasonography, the People’s Hospital of Xintai City, Shandong 271200, China
|
| Abstract: |
| ［Abstract］ Objective To explore the ultrasonographic features and differential diagnosis of chronic thyroiditis.Methods High resolution two-dimensional ultrasonography combined with color doppler were used for routine examination of 67 patients with chronic thyroiditis.Results Ultrasonic performance of chronic thyroiditis was varied. Chronic lymphocytic thyroiditis(Hashimotos thyroiditis, HT) was found in 45 patients, accounting for 67.2%. Chronic fibrous thyroiditis(Riedels thyroiditis, RT) in 22 patients, accounting for 32.8%. Ultrasonographic features of typical chronic thyroiditis were diffuse thyroid increase, marked thickened isthmus, more coarse networx-live echo, less worm-eaten-live change, and uneven echo. Ultrasonographic features of atypical chronic thyroiditis included multiple hypoechoic nodule type, light point echo thickening type and sheet-line echo reducing type.Conclusion Mastering the ultrasonic characteristics and the pathological change of various types of chronic thyroiditis can reduce misdiagnosis and missed diagnosis and provide valuable diagnostic basis for clinic. |
| Key words: Chronic thyroiditis Ultrasound diagnosis Color doppler |
