摘要
采用彩色多普勒超声（简称彩超）检查24例弥漫性毒性甲状腺肿（Graves病），并以8例桥本氏病、6例单纯性弥漫性甲状腺肿及15名正常人作对照。结果发现Graves病甲状腺腺体弥漫性或局灶性回声减低，在回声减低处血流信号明显增加，甲状腺上动脉和腺体内动脉流速明显加快，阻力减低，与其它各组及对照组相比具有特征性改变。Graves病甲状腺上动脉血流量是正常人的8～10倍。与核素扫描及其它实验室检查相比，彩超具有方便、省时、价廉及非侵入性的优点，值得推广使用。
Color Doppler flow imaging (CDFI) was performed in 24 patients with Graves' disease,and the results were compared with those from 8 patients with Hashimoto' S disease, 6 patients with simple diffuse goiter and 15 normal volunteers' All cases were confirmed by clini-cal, laboratory tests or by pathology. The CDFI findings of the cases with Graves' diseaseshowed diffuse or localized hypoechoes within the glands and rich flow signals in the hypo-echoes, and acceleration of flow velocity and decrease of resistance in the superior thyroid ar-teries (STA) and arteries within the glands. These appearances were characteristic as compared with the controls. The rate of flow in STA of Graves' disease cases was 8 to 10 timeshigher than that in the normal volunteers. This study demonstrated that CDFI is convenient,time saving, inexpensive and noninvasive as corupared with isotope scan and some other labo-ratory tests, and can be widely used in the diagnosis of Graves' disease. The pathologic basis of Graves' disease on ultrasonography and its differential diagnosis are discussed.
出处
《中国医学科学院学报》
CAS
CSCD
北大核心
1994年第3期170-174,共5页
Acta Academiae Medicinae Sinicae
关键词
彩色多普勒
甲状腺肿
腺体回声
color Doppler flow imaging
goiter, exophthalmic
ultrasonics
