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目的:为研究超声对桥本甲状腺炎诊断的临床价值,最终寻找出一些超声诊断规律。方法:对我院50例桥本甲状腺炎患者的临床资料和声像图表现进行分析。结果:桥本甲状腺炎女性多发,声像图中86%呈中度以上增大,90%峡部明显增厚,86%声像图弥漫减低回声,22%局限回声减低,64%呈网格样回声,6.5%呈多发结节样变;CDFI显示血流丰富者占66.8%,较丰富者占21.2%,无明显改变者占12.0%。超声诊断符合率占94.7%。结论:桥本氏甲状腺炎声像图改变特征性明显,可作为超声诊断本病的重要依据。
OBJECTIVE: To study the clinical value of ultrasound in the diagnosis of Hashimoto’s thyroiditis, and finally to find out some ultrasonic diagnostic rules. Methods: 50 cases of Hashimoto’s thyroiditis in our hospital clinical data and sonographic performance analysis. Results: Hashimoto’s thyroiditis occurred frequently in women. 86% of the Hashimoto’s thyroiditis was moderately enlarged, 90% of the isthmus was thicker, 86% of the sonography reduced diffuse echo, 22% of the localized echoes decreased, and 64% Echogenic, 6.5% were multiple nodular changes; CDFI showed 66.8% of those with abundant blood flow, more abundant accounted for 21.2%, no significant change accounted for 12.0%. The coincidence rate of ultrasound diagnosis accounted for 94.7%. Conclusion: Hashimoto’s thyroiditis changes the characteristic of acoustic imaging is obvious, can be used as an important basis for the diagnosis of this disease by ultrasound.