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本文对86例患有各类甲状腺疾病,经超声诊断及临床证实,现报道如下。 资料与方法 1.本组病例共86例,其中男性18例,女性68例、年龄为14～63岁,应用SSD—630型、Aloka、SSD—1700型B超仪,探头频率为5MHz、7.5MHz受查者取仰卧位,肩部抬高、头部后伸,使颈区充分暴露,嘱病人停止吞咽,常规探测,显示颈总动脉,颈内静脉,两叶甲状腺及其峡部甲状腺后的气管,必要时受检者作吞咽动作以上升甲状腺下极,多方位扫查,观察甲状腺全貌,详细记录了甲状腺大小及肿物的大小,形态以及腺体内回声等情况。了解与周围组织的毗邻关系,注意有无淋巴结肿大等。 2.正常甲状腺声像图:腺体两侧对称、包膜光整、腺体内回声为均匀的细小光点。其实质内无彩色血流显示,仅有较大的动静脉可显示彩色血流。多出现在上下极及侧方血管出入甲状腺处。
In this paper, 86 cases of various types of thyroid disease, diagnosed by ultrasound and clinically confirmed, are reported below. Materials and Methods 1. The group of 86 patients, including 18 males and 68 females, aged 14 to 63 years old, the application of SSD-630, Aloka, SSD-1700 B ultrasound instrument, the probe frequency of 5MHz, 7.5 MHz subject to supine position, shoulder elevation, head extension, the neck area fully exposed, instruct patients to stop swallowing, routine detection, showing the common carotid artery, internal jugular vein, two leaves of the thyroid gland and its isthmus Trachea, if necessary, swallowing the subject for action to raise the lower pole of the thyroid gland, multi-directional scanning to observe the entire thyroid, detailed records of the thyroid size and size of the tumor, morphology and gland echo and so on. Understand the adjacent relationship with the surrounding tissue, pay attention to whether there is lymph node enlargement. 2. Normal thyroid sonogram: symmetrical glands on both sides, envelope finishing, the gland echo uniform small spots. In fact, there is no color blood flow display, only the larger arteriovenous can show color flow. More in the upper and lower pole and lateral vascular access to the thyroid.