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目的研究桥本甲状腺炎不同甲状腺功能状态的血流面积比鉴别效能。方法选取2015年11月—2016年11月在该院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95例作为研究对象,根据患者的甲状腺功能将所有患者分为三组,同时选取健康志愿者30例作为对照组。所有患者均进行超声检查,对比四组的诊断结果和血流面积比。结果甲亢组、甲状腺功能正常组、甲减组和对照组两两相比在血流平均面积比、峰值比、谷值比存在明显差异,呈递减趋势;从检查者甲、乙、丙、丁的重复测量结果来看,血流平均面积比、峰值比和谷值的ICC值范围为0.77~0.90,ICC值较高;到达峰值和谷值时间的ICC值范围为0.09~0.24,且可信性区较上述三个参数值宽。结论鉴别桥本甲状腺炎不同甲状腺功能状态的血流面积比,可以对甲状腺内血流情况进行定量评价,能够辅助鉴别不同功能状态的桥本甲状腺炎,并提示其变化情况。
Objective To study the efficacy of Hashimoto’s thyroiditis in terms of blood flow area ratio in different thyroid function states. Methods Selected from November 2015 to November 2016 in the hospital by needle biopsy or surgical biopsy confirmed Hashimoto’s thyroiditis in 95 patients as the research object, according to the patient’s thyroid function of all patients were divided into three groups Meanwhile, 30 healthy volunteers were selected as the control group. All patients underwent ultrasound examination, comparing the diagnostic results of four groups and the ratio of blood flow area. Results The hyperthyroidism group, the normal thyroid function group, the hypothyroidism group and the control group showed a significant difference in average blood flow area ratio, peak ratio and trough ratio, showing a decreasing trend. From the examiners A, B, C and D The ICC values ranged from 0.77 to 0.90, with a high ICC value for the mean area ratio, peak ratio, and trough values, and ranged from 0.09 to 0.24 for peak and valley time, and were credible The sex zone is wider than the above three parameters. Conclusion The identification of Hashimoto ’s thyroiditis in different thyroid function of the blood flow area ratio can be quantitative evaluation of thyroid blood flow, can help identify different functional status of Hashimoto’ s thyroiditis, and prompt changes.