摘要
目的应用声触诊组织定量(VTQ)技术测量并比较各类甲状腺弥漫性病变患者甲状腺横向剪切波速度(SWV)的变化特点。方法将190例甲状腺弥漫性病变患者分为5组:毒性弥漫性甲状腺肿组(A组)45例,青春期甲状腺肿组(B组)30例,原发性甲状腺功能减退组(C组)42例,桥本氏甲状腺炎组(D组)43例,亚急性甲状腺炎组(E组)30例;另选取同期健康体检者40例为正常对照组。应用VTQ技术分别检测各组甲状腺SWV值,比较分析其变化特点。结果 A组SWV值为(2.31±0.42)m/s,B组SWV值为(1.72±0.39)m/s,C组SWV值为(2.86±0.80)m/s,D组SWV值为(2.64±0.54)m/s,E组SWV值为(4.48±2.01)m/s,正常对照组SWV值为(1.89±0.38)m/s。正常对照组与除B组外其他各组比较差异均有统计学意义(均P<0.05);A组与除D组外其他各组比较差异均有统计学意义(均P<0.05);B组与除正常对照组外其他各组比较差异均有统计学意义(均P<0.01);C组与除D组外其他各组比较差异均有统计学意义(均P<0.01);D组与B、E及正常对照组比较差异均有统计学意义(均P<0.01);E组与其他各组比较差异均有统计学意义(均P<0.01)。结论各类甲状腺弥漫性病变SWV值变化不同,VTQ技术对临床诊断和鉴别甲状腺弥漫性病变可能有具有一定价值。
Objective To study the differences of transverse shear wave velocity（SWV）in all kinds of diffuse thyroid diseases. Methods According to the clinical diagnosis,190 patients with diffuse thyroid diseases were divided into 5 groups：toxic diffuse goiter group（Grave ＇s disease）（group A,45 cases）,adolescence goiter group（group B,30 cases）,primary hypothyroidism group（C group,42 cases）,Hashimoto＇s thyroiditis group（group D,43 cases）,subacute thyroiditis group（group E,30 cases）. There were 40 subjects who were chosen to be the control group（group F）. SWV was measured by virtual touch tissue quantification（VTQ）,then the data was statistically analyzed. Results SWV was（2.31±0.42）m/s in group A;（1.72±0.39）m/s in group B;（2.86 ±0.80）in group C;（2.64 ±0.54）m/s in group D;（4.48 ±2.01）m/s in group E;（1.89 ±0.38）m/s in group F.There was no significant difference between group F and group B. The SWV in group F was statistical difference with other groups（P〈0.01）.The SWV showed no significant difference between group A and group D,buttherewasstatisticaldifferencebetweengroup A and other groups（P〈0.05）. No significant difference of SWV was observed between group C and D,but there were statistical difference between C and other groups（P〈0.01）.There were no significant differences of SWV between group D and group A,group D and group C.There was statistical difference between group D and other groups（P〈0.01）.There was statistical difference between group E and other group（P〈0.01）. Conclusion SWV is different among the various types of diffuse thyroid diseases. VTQ has certain clinical value for diagnosis and differential diagnosis of diffuse thyroid diseases.
出处
《临床超声医学杂志》
2016年第11期734-736,共3页
Journal of Clinical Ultrasound in Medicine
基金
上海健康医学院种子基金项目(HMSF-16-22-032)
