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目的探讨高频超声对成人亚急性甲状腺炎的诊断意义,总结成人亚急性甲状腺炎的超声表现及特点,提高其诊断率。方法对42例甲状腺炎患者的高频超声检查资料进行综合的声像图特征分析,结合临床表现及生化检查的结果回顾分析。结果 42例成人亚急性甲状腺患者,甲状腺双侧病灶17例,单侧病灶22例,峡部病灶3例;多发病灶26例,单发病灶16例。超声表现为甲状腺局灶性片状低回声区或结节状低回声为主,彩色多普勒异常回声区周边呈有较丰富的血流信号,内部均无明显血流显示。结论亚急性甲状腺炎的超声检查具有较明显的声像图特征,是一种无辐射、简便、有效的确诊方法 。
Objective To investigate the diagnostic significance of high frequency ultrasound in adult patients with subacute thyroiditis and summarize the ultrasound features and characteristics of adult patients with subacute thyroiditis and improve its diagnostic rate. Methods A total of 42 cases of thyroiditis in patients with high-frequency ultrasound examination data were analyzed by sonographic features, combined with clinical manifestations and biochemical findings of retrospective analysis. Results 42 cases of adult patients with subacute thyroid, thyroid bilateral lesions in 17 cases, unilateral lesions in 22 cases, isthmic lesions in 3 cases; multiple lesions in 26 cases, single lesions in 16 cases. Ultrasound showed focal hypoechoic area of the thyroid gland or nodular hypoechoic. The color doppler abnormal echo showed a rich blood flow signal around the internal no obvious blood flow. Conclusion Ultrasound examination of subacute thyroiditis has more obvious sonographic features and is a non-radiation, simple and effective diagnostic method.