| Objective：this study of hashimoto’s thyroiditis (HT) and hyperthyroidism (GravesDisease) patients with two-dimensional and color doppler flow imaging (CDFI) analysis ofthe characteristics of the image, and combined with clinical data, laboratory examination,the doctor of traditional Chinese medicine syndrome type, etc., to discuss the ultrasonicimage correlation, in order to provide the basis for the differential diagnosis of both and theinstruction.Methods：Included in the standard of30patients with HT and30cases of patientswith GD thyroid ultrasonography and clinical data were retrospectively analyzed, recordthe B ultrasonic examination results (size, internal echo, of a CDFI, thyroid artery peakPSV, RI) and clinical data (including age, gender, etc.), classification of traditional Chinesemedicine, laboratory examination, and compare with the normal control group,respectively. Comparative analysis of the HT group and thyroid ultrasonographiccharacteristics of GD group, including internal echo and blood flow distribution and thesize of thyroid, thyroid artery on the peak and the resistance index, and compare theirclinical data, analysis of TCM syndrome types and two groups of thyroid hormone andantibody test results, and the normal control group.Results：1. HT and GD patients with thyroid two-dimensional ultrasound in thyroidsize, internal echo and blood flow signals within glands there was no significant difference,but HT gland in patients with internal echo nodules than GD patients (P <0.05), significantdifference, the internal echo nodules type can be used for reference by one of the keypoints.2. HT and GD patients with thyroid artery peak were higher than in normal group (P <0.01), significantly higher than that of HT and GD patients (P <0.01), significantdifference was statistically significant, thyroid artery peak can be used as the reference index of the differential diagnosis between them.3. Clinical data showed that HT and GD group in terms of age, gender distributionthere was no significant difference (P>0.05), comparable.4. HT group compared with GD group of TCM syndrome types, give priority to inorder to change the type of HT group, liver depression, GD group type fire certificate.5. HT group of patients with thyroid function TGAb value is significantly higher thanGD patients.Conclusion：1. HT and GD patients with thyroid two-dimensional ultrasound inthyroid size, internal echo and blood flow signals within glands there was no significantdifference, but HT gland in patients with internal echo nodules than GD patients (P <0.05),significant difference, the internal echo nodules type can be used for reference by one ofthe key points.2. HT and GD patients with thyroid artery peak were higher than in normal group (P <0.01), significantly higher than that of HT and GD patients (P <0.01), significantdifference was statistically significant, thyroid artery peak can be used as the referenceindex of the differential diagnosis between them.3. Clinical data showed that age, gender distribution in patients with HT and GD therewas no significant difference (P>0.05), no statistical significance.4HT group compared with GD group of TCM syndrome types, give priority to inorder to change the type of HT group, liver depression, GD group fire certificate type, canbe in accordance with TCM syndrome type in clinic to identify both.5. TGAb in patients with HT positive rate high in the GD group (P <0.05),statistically significant differences, can be used as the identification of referenceinformation. |
