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目的亚急性甲状腺炎(简称亚甲炎)约占甲状腺疾病的4%左右,近年来发病率有明显上升趋势。本文就我院2006年7月-2010年6月应用彩色多普勒超声诊断的77例亚急性甲状腺炎进行回顾性分析,旨在探讨彩色多普勒超声对亚急性甲状腺炎的诊断及鉴别诊断的临床应用价值。方法对77例亚急性甲状腺炎进行常规二维叠加彩色多普勒超声检查,随访病例各期不同声像学改变。结果双侧叶同时弥漫性病变者占49例,彩超诊断正确率97.9%。一侧叶受累11例,彩超诊断正确率81.8%。结节样病变7例,彩超诊断正确率66.7%。典型病例可根据声像图变化将病程分为三期:急性期、中期和恢复期。结论彩超不仅可以对亚急性甲状腺炎作出正确诊断与鉴别诊断,而且根据声像图进行病程分期,对指导临床治疗、防止病情复发,同样具有十分重要的意义
Objective Subacute thyroiditis (referred to as methyleneitis) accounts for about 4% of thyroid diseases, the incidence in recent years, a clear upward trend. This article from July 2006 to June 2010 in our hospital with color Doppler ultrasound diagnosis of 77 cases of subacute thyroiditis were retrospectively analyzed to explore the color Doppler ultrasound diagnosis and differential diagnosis of subacute thyroiditis The clinical value. Methods 77 cases of subacute thyroiditis by conventional two-dimensional superimposed color Doppler ultrasound, follow-up cases of different stages of the sonographic changes. The results of bilateral diffuse lesions accounted for 49 cases, the correct rate of color Doppler ultrasound was 97.9%. 11 cases of lateral leaf involvement, color Doppler ultrasound diagnosis rate of 81.8%. Nodular lesions in 7 cases, color Doppler ultrasound diagnosis rate of 66.7%. Typical cases can be based on changes in the sound image of the course of the disease is divided into three phases: acute phase, mid-term and convalescent. Conclusion Color Doppler ultrasound can not only make the correct diagnosis and differential diagnosis of subacute thyroiditis, but also according to the sonographic stage of disease staging, to guide the clinical treatment, to prevent the recurrence of disease, also of great significance