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目的观察桥本甲状腺炎的超声诊断效果。方法 45例桥本甲状腺炎患者作为试验组,45例体检健康者作为参照组,两组受试者均予以超声检查,比较两组检查结果的差异性。结果参照组动脉收缩期峰值流速(PSV)为(27.2±6.8)cm/s,阻力指数(RI)为(0.54±0.20),试验组PSV为(64.8±9.2)cm/s,RI为(0.68±0.31),试验组PSV、RI均显著高于参照组,差异均具有统计学意义(P<0.05)。参照组左叶前后径、右叶前后径、峡部前后径分别为(1.99±0.34)、(2.22±0.44)、(0.67±0.22)cm,试验组左叶前后径、右叶前后径、峡部前后径分别为(1.33±0.20)、(1.32±0.31)、(0.29±0.03)cm,试验组左叶前后径、右叶前后径、峡部前后径均短于参照组,差异均具有统计学意义(P<0.05)。结论超声对桥本甲状腺炎具有非常高的诊断价值,其可为临床合理选择治疗方案提供参考和借鉴,值得广泛应用于临床和进一步推广。
Objective To observe the ultrasonic diagnosis of Hashimoto’s thyroiditis. Methods Forty-five Hashimoto’s thyroiditis patients were selected as the experimental group and 45 healthy controls as the reference group. The two groups of patients were examined by ultrasound, and the differences between the two groups were compared. Results The peak systolic velocity (PSV) of the reference group was (27.2 ± 6.8) cm / s and the RI was (0.54 ± 0.20). The PSV of the experimental group was (64.8 ± 9.2) cm / ± 0.31). The PSV and RI of the experimental group were significantly higher than those of the reference group (P <0.05). The anteroposterior diameter, left anterior lobe diameter and anterior islor posterior diameter of the left anterior lobe in the reference group were (1.99 ± 0.34), (2.22 ± 0.44) and (0.67 ± 0.22) cm, respectively (1.33 ± 0.20) and (1.32 ± 0.31) and (0.29 ± 0.03) cm, respectively. The anteroposterior diameter, left anterior and posterior diameter of anterior lobe, anteroposterior diameter of isthmus in experimental group were shorter than those in reference group (P <0.05), the differences were statistically significant P <0.05). Conclusion Ultrasound has a very high diagnostic value for Hashimoto’s thyroiditis, which can provide reference and reference for clinical treatment options. It is worthy of being widely used in clinic and further promotion.