彩色多普勒超声在婴幼儿甲状腺功能减退症治疗前后的意义

发布时间：2018-05-20 15:52

本文选题：甲状腺功能减退症 + 超声检查　；参考：《重庆医学》2015年28期

【摘要】：目的探讨婴幼儿期(0~3岁)甲状腺功能减退症患儿治疗前后彩色多普勒超声检查的意义。方法甲状腺功能正常的婴幼儿作为对照组,二维及彩色多普勒超声检查其甲状腺;临床确诊的暂时性及永久性甲状腺功能减退症的婴幼儿作为观察组,在治疗前新生儿期及治疗后幼儿期分别多次行超声检查,观察不同时期甲状腺发育情况并相互对比。结果治疗前暂时性甲状腺功能减退症患儿超声检查主要以甲状腺缩小为主,治疗后复查可发现大多数甲状腺增大,少数缩小的甲状腺可恢复正常测值;治疗前永久性甲状腺功能减退症患儿主要表现为甲状腺缺如,其次是甲状腺缩小,治疗后甲状腺发育情况仍以缺如为主,仅极少数能恢复正常测值。结论彩色多普勒超声检查可间接反映本地区婴幼儿甲状腺发育情况,加上其无创伤性、重复性高等优势,可用作临床诊断婴幼儿甲状腺功能减退症的重要辅助检查方法。
[Abstract]:Objective to investigate the significance of color Doppler ultrasonography before and after treatment in children with hypothyroidism (3 years old). Methods the infants with normal thyroid function were used as control group, and the infants with temporary and permanent hypothyroidism were examined by two-dimensional and color Doppler ultrasound. The development of thyroid gland was observed and compared with each other. Results the main ultrasound examination of children with temporary hypothyroidism before treatment was thyroid shrinkage. After treatment, it was found that most of the thyroid glands were enlarged, and a few of the smaller ones could return to normal values. The main manifestation of the children with permanent hypothyroidism before treatment was thyroid deficiency, followed by thyroid contraction. After treatment, the development of thyroid was still absent, and only a few of them could return to normal measured values. Conclusion Color Doppler ultrasonography can indirectly reflect the thyroid development of infants in this area, plus its advantages of non-traumatic and high reproducibility, so it can be used as an important auxiliary examination method for clinical diagnosis of infant hypothyroidism.
【作者单位】：重庆市妇幼保健院超声科;重庆市妇幼保健院新生儿筛查中心;
【分类号】：R445.1;R725.8

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