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目的探讨二维及彩色多普勒超声对桥本甲状腺炎的诊断价值。方法回顾性分析经病理检查确诊的18例桥本甲状腺炎患者,根据二维超声及彩色多普勒血流特点分为弥散肿大型、结节肿大型及局限型桥本病三型。结果 18例桥本甲状腺炎中弥散肿大型10例,结节肿大型6例,这16例双侧甲状腺体积较正常明显增大,内部回声减低,部分呈网络样改变,病变部位血流信号丰富;局限型桥本病2例,表现为不均匀低回声区内血流信号丰富,肿大不明显。结论二维超声及彩色多普勒超声可以对桥本甲状腺炎正确分型。
Objective To investigate the diagnostic value of two-dimensional and color Doppler ultrasound in Hashimoto’s thyroiditis. Methods 18 patients with Hashimoto’s thyroiditis confirmed by pathology were retrospectively analyzed. According to the characteristics of two-dimensional ultrasonography and color Doppler flow, they were classified into diffuse swelling type, enlarged nodule type and localized Hashimoto’s disease type three. Results In 18 cases of Hashimoto’s thyroiditis, there were 10 cases of diffuse enlargement and 6 cases of enlarged nodular. The volume of bilateral thyroid gland in 18 cases increased significantly compared with that in normal control group. The internal echo decreased and some of them showed network-like changes. ; Localized Hashimoto’s disease in 2 cases, manifested as uneven hypoechoic area rich in blood flow signals, swelling is not obvious. Conclusion Two-dimensional ultrasound and color Doppler ultrasound can correct Hashimoto’s thyroiditis.