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目的:探讨超声在新生儿先天性甲状腺功能减低症诊断中的检查意义。方法:对广西壮族自治区妇幼保健院筛确诊的97例先天性甲状腺功能减低症新生儿进行甲状腺超声扫查,测量甲状腺的大小并计算容积,并观察甲状腺回声及彩色多普勒(CDFI)血流情况,然后与100例正常新生儿的甲状腺对照分析。结果:97例患儿中,57例甲状腺未见明显异常,22例甲状腺明显肿大,2例甲状腺未见明显肿大,但是血流信号丰富,15例甲状腺偏小,1例甲状腺发育不良。结论:超声检查在新生儿甲状腺功能减低症的筛查中起到重要作用,对临床治疗有重要辅助价值。
Objective: To investigate the significance of ultrasound in the diagnosis of congenital hypothyroidism in neonates. Methods: Ninety-nine neonates with congenital hypothyroidism diagnosed in screening of MCH hospital in Guangxi Zhuang Autonomous Region underwent thyroid ultrasonography. Thyroid size and volume were measured. Thyroid echo and color Doppler flow (CDFI) were observed The situation was then analyzed with a thyroid control of 100 normal newborns. Results: Of the 97 children, 57 cases had no abnormal thyroid gland, 22 cases had obvious enlargement of the thyroid gland, 2 cases had no obvious enlargement of the thyroid gland, but rich in blood flow signal, 15 cases had small thyroid gland and 1 case hypothyroidism. Conclusion: Ultrasonography plays an important role in the screening of neonatal hypothyroidism and has important auxiliary value for clinical treatment.