Set P A, Oleszczuk-Raschke K, von Lengerke J H, Brämswig J
Radiology Department, Addenbrooke's Hospital, Cambridge, UK.
Clin Radiol. 1996 Mar;51(3):167-9. doi: 10.1016/s0009-9260(96)80317-5.
Fifty-seven sonograms of 18 children with Hashimoto thyroiditis were retrospectively assessed. Thirty-three examinations (in 12 patients) showed thyroid glands which were more reflective than adjacent strap muscles, 22 studies (in eight patients) demonstrated glands of equal reflectivity and two examinations (in one child) depicted thyroid glands of lower reflectivity than muscle. The most frequent ultrasound appearance consisted of 2-5 mm echopenic lesions generally distributed throughout large poorly-defined hyperreflective glands. In serial examinations no correlation was found between laboratory indexes of thyroid status and sonographic findings.
对18例桥本甲状腺炎患儿的57份超声图像进行回顾性评估。33次检查(涉及12例患者)显示甲状腺比相邻的带状肌回声更强,22次研究(涉及8例患者)显示甲状腺回声相同,2次检查(涉及1例儿童)显示甲状腺回声低于肌肉。最常见的超声表现为2 - 5毫米的无回声病变,通常分布于大片边界不清的高回声甲状腺内。在系列检查中,未发现甲状腺功能实验室指标与超声检查结果之间存在相关性。