發(fā)布時(shí)間：2018-05-20 15:52

  本文選題：甲狀腺功能減退癥 + 超聲檢查��； 參考：《重慶醫(yī)學(xué)》2015年28期

【摘要】：目的探討嬰幼兒期(0~3歲)甲狀腺功能減退癥患兒治療前后彩色多普勒超聲檢查的意義。方法甲狀腺功能正常的嬰幼兒作為對(duì)照組,二維及彩色多普勒超聲檢查其甲狀腺;臨床確診的暫時(shí)性及永久性甲狀腺功能減退癥的嬰幼兒作為觀察組,在治療前新生兒期及治療后幼兒期分別多次行超聲檢查,觀察不同時(shí)期甲狀腺發(fā)育情況并相互對(duì)比。結(jié)果治療前暫時(shí)性甲狀腺功能減退癥患兒超聲檢查主要以甲狀腺縮小為主,治療后復(fù)查可發(fā)現(xiàn)大多數(shù)甲狀腺增大,少數(shù)縮小的甲狀腺可恢復(fù)正常測(cè)值;治療前永久性甲狀腺功能減退癥患兒主要表現(xiàn)為甲狀腺缺如,其次是甲狀腺縮小,治療后甲狀腺發(fā)育情況仍以缺如為主,僅極少數(shù)能恢復(fù)正常測(cè)值。結(jié)論彩色多普勒超聲檢查可間接反映本地區(qū)嬰幼兒甲狀腺發(fā)育情況,加上其無(wú)創(chuàng)傷性、重復(fù)性高等優(yōu)勢(shì),可用作臨床診斷嬰幼兒甲狀腺功能減退癥的重要輔助檢查方法。
[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.
【作者單位】： 重慶市婦幼保健院超聲科;重慶市婦幼保健院新生兒篩查中心;
【分類號(hào)】：R445.1;R725.8

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本文編號(hào)：1915291