摘要
目的:探讨桥本氏甲状腺炎(Hashimoto’s thyroiditis,HT)和弥漫性甲状腺肿(Graves病,GD)患者超声声像图特点及与中医证型的相关性。方法:选择HT、GD患者及正常对照者各30例,测量甲状腺大小及内部回声、甲状腺上动脉收缩期峰值流速(PSV)及RI,并比较中医证型。结果:1HT组与GD组的声像图均表现为甲状腺厚度不同程度增大,内部回声弥漫性减低;HT患者腺体内网格样改变及低回声小结节多于GD患者,差异均有统计学意义。2HT组与GD组的甲状腺上动脉PSV均高于对照组,GD组明显高于HT组,差异均有统计学意义;3组RI比较差异均无统计学意义。3HT组中医证型以肝郁脾虚型为主,GD组以肝郁化火型多见。结论:甲状腺内部回声、腺体内低回声小结节数目、甲状腺上动脉PSV、中医证型等可为HT与GD的鉴别提供参考。
Objective：To evaluate the ultrasound characteristics and TCM syndrome type of Hashimoto＇s thyroiditis and Graves disease. Methods：Choose the HT,GD patients and the healthy people,with each group of 30 cases. The size of thyroid and internal echo, peak systolic velocity （PSV） and resistance index （RI） of thyroid artery were measured,and their TCM syndrome types were compared. Results：（1）The images of HT and GD patients were characterized by thyroid thickness increase to some degree and the internal echo decrease. The number of reticular changes and low echo nodules in HT group was more than that of GD. （2）PSV in HT and GD group were higher than that in normal group, GD group was higher than HT group, significant differences were made. There were no remarkable differences of RI between the three groups. （3）HT group＇s TCM syndrome types were mainly liver depression and spleen deficiency type,and GD group were mainly liver stagnation of fire type. Conclusion： Internal echo of the thyroid,the number of low echo nodules in the thyroid, PSV and the TCM syndrome can be used to distinguish the two diseases.
出处
《中国中西医结合影像学杂志》
2014年第5期452-454,共3页
Chinese Imaging Journal of Integrated Traditional and Western Medicine
