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目的总结桥本氏甲状腺炎的超声声像图表现,评价超声显像技术对桥本氏甲状腺炎的诊断价值,目的在于提高超声显像技术对桥本氏甲状腺炎的诊断准确率。方法回顾性分析65例经穿刺针吸活检或手术切取病理活检确诊为桥本氏甲状腺炎患者的超声声像图表现。结果桥本氏甲状腺炎超声声像图表现为腺体弥漫性肿大,峡部明显增厚,甲状腺实质回声减低、增粗,分布不均呈网格状,部分可伴有单个或多个低回声结节;彩色多普勒(CD-FI)显示甲状腺内部血流信号丰富,部分无明显改变;脉冲多普勒(PW)显示甲状腺上动脉(STA)血流速度峰值(Vmax)增快,阻力指数(RI)无明显改变。结论桥本氏甲状腺炎的超声声像图改变具有较强的特征性,超声显像技术对该疾病的诊断意义较大,可以作为诊断该疾病的重要依据。
Objective To summarize the ultrasonographic appearance of Hashimoto’s thyroiditis and evaluate the diagnostic value of ultrasonic imaging on Hashimoto’s thyroiditis. The purpose is to improve the diagnostic accuracy of ultrasonic imaging in Hashimoto’s thyroiditis. Methods A retrospective analysis of 65 cases of needle biopsy or surgical biopsy biopsy confirmed Hashimoto’s thyroiditis ultrasound sonographic findings. Results Hashimoto’s thyroiditis ultrasound echocardiography showed diffuse enlargement of the gland, isthmus thickening, thyroid parenchymal echo reduction, thickening, uneven distribution of mesh-like, some may be accompanied by single or multiple hypoechoic Nodules, and color Doppler (CD-FI) showed that the internal thyroid blood flow signals were rich and some of them showed no significant changes. Pulmonary doppler (PW) showed that the peak velocity of blood flow velocity (Vmax) Index (RI) no significant change. Conclusion Hashimoto’s thyroiditis has a strong characteristic of ultrasonic sonography. Ultrasound imaging is of great significance in the diagnosis of this disease and can be used as an important basis for diagnosis of this disease.