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彩超在甲亢与亚甲低的首诊与鉴别诊断中的应用
引用本文:张丽,赵荣.彩超在甲亢与亚甲低的首诊与鉴别诊断中的应用[J].泰山医学院学报,2011,32(4):281-283.
作者姓名:张丽  赵荣
作者单位:泰安市中医医院功能检查科,山东,泰安,271000
摘    要:目的探讨彩色多普勒超声在甲亢与亚甲低鉴别诊断中的价值。方法对经临床及实验室检查确诊的32例甲亢患者和26例亚甲低患者的甲状腺二维及彩色多普勒超声表现及甲状腺上动脉血流参数(Vmax、Vmin和RI)进行观察分析,并与正常组进行对照。结果亚甲低组与甲亢组甲状腺大小均不同程度增大,内部回声增粗,甲状腺内血流信号明显增多;甲状腺上动脉Vmax、Vmin均高于正常组(P〈0.01),且甲亢组明显高于亚甲低组(P〈0.01,P〈0.05);RI两组间比较及与正常组比较均无显著性差异(P〉0.05)。结论亚甲低和甲亢的二维及彩色声像图表现极为相似,难以对两病作出鉴别诊断;甲状腺上动脉血流Vmax、Vmin的变化,可作为二者诊断与鉴别诊断的参考依据。

关 键 词:甲状腺功能亢进  亚临床甲状腺功能低下  彩超诊断

The application of color doppler sonography in differential diagnosis of hyperthyroidism and subclinical hypothyroidism
ZHANG Li,ZHAO Rong.The application of color doppler sonography in differential diagnosis of hyperthyroidism and subclinical hypothyroidism[J].Journal of Taishan Medical College,2011,32(4):281-283.
Authors:ZHANG Li  ZHAO Rong
Institution:ZHANG Li ZHAO Rong(Dept.of Ultrasound,Taian Hospital of Traditional Chinese Medicine,Taian 271000,China)
Abstract:Objective: To explore the value of color Doppler sonography in diagnosis and differential diagnosis of hyprthyroidism(HT) and subclinical hypothyroidism(SHT).Methods: In 23 patients with hyperthyroidism and 22 with subclinical hypothyroidism diagnosed clinically and confirmed by laboratory examination,conventional and color Doppler sonography of thyroid were demonstrated and the flow parameters of superthyroid artery(Vmax,Vmin,and RI) were measured and compared with normal.Results: In both of HT and SHT,the...
Keywords:hypertyroidism  subclinical hypothyroidism  color doppler sonography  
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