局限性亚急性甲状腺炎超声评估

来源 :中华医学会第十五次全国超声医学学术会议 | 被引量 : 0次 | 上传用户:jizhidong2009
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目的:探讨彩色多普勒超声评估局限性亚急性甲状腺炎(SAT)的临床价值.方法:68例临床确诊的SAT患者,分析局限性SAT的超声声像图并与同期病理证实的局限性甲状腺乳头状癌患者对比分析.结果:68例SAT超声表现为甲状腺内不同范围的回声减低区,其中弥漫型40例(58.82%,40/68),局限型28例(41.18%,28/68).回声减低区内彩色血流信号较正常甲状腺实质丰富.52例(76.47%,52/68)病变局部探头加压后甲状腺部位有压痛.将局限型SAT与30例甲状腺乳头状癌的声像图进行对比,二者病变均表现为形态不规则,与周围边界不清;在病变内出现多发点状钙化及动脉血流阻力指数(RI)的比较中,二者差异有统计学意义(P<0.05).结论:局限性SAT的彩色多普勒超声声像图有相对的特征性,对临床诊断有一定的参考价值.
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