Application of virtual touch tissue quantification in the different clinical course of Hashimoto’s thyroiditis

LI Li; XU Juan; ZHAO Guozheng; WANG Yicheng; LIU Shuping

doi:10.16245/j.cnki.issn1008-6978.2020.08.027

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Application of virtual touch tissue quantification in the different clinical course of Hashimoto’s thyroiditis

更新时间：2021-10-13

- Application of virtual touch tissue quantification in the different clinical course of Hashimoto’s thyroiditis
- Journal of Clinical Ultrasound in Medicine Vol. 22, Issue 8, (2020)
- 作者机构：
  
  1. 中国人民解放军空军特色医学中心超声诊断科
  2. 河北省唐山市人民医院超声诊断科
  3. 河北北方学院附属第一医院超声医学科
- 作者简介：
- 基金信息：
- DOI：10.16245/j.cnki.issn1008-6978.2020.08.027
  CLC： R445.1;R581.4
- Published：2020，
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[1]李利,徐娟,赵国政,王义成,刘淑萍.声触诊组织定量技术在桥本氏甲状腺炎临床进程中的应用[J].临床超声医学杂志,2020,22(08):632-634.

LI Li, XU Juan, ZHAO Guozheng, et al. Application of virtual touch tissue quantification in the different clinical course of Hashimoto’s thyroiditis. [J]. Journal of Clinical Ultrasound in Medicine 22(8).(2020)
[1]李利,徐娟,赵国政,王义成,刘淑萍.声触诊组织定量技术在桥本氏甲状腺炎临床进程中的应用[J].临床超声医学杂志,2020,22(08):632-634. DOI： 10.16245/j.cnki.issn1008-6978.2020.08.027.

LI Li, XU Juan, ZHAO Guozheng, et al. Application of virtual touch tissue quantification in the different clinical course of Hashimoto’s thyroiditis. [J]. Journal of Clinical Ultrasound in Medicine 22(8).(2020) DOI： 10.16245/j.cnki.issn1008-6978.2020.08.027.

摘要

目的应用声触诊组织定量（VTQ）技术探讨桥本氏甲状腺炎（HT）在不同临床进程中的组织弹性变化情况。方法回顾性分析153例经临床确诊的HT患者

根据HT的二维超声图像特征分为局灶型（Ⅰ类）、类结节型（Ⅱ类）、弥漫回声减低型（Ⅲ类）、弥漫回声增强型（Ⅳ类）

分别对应于HT的临床初期、进展期、活动期、恢复期;另选同期健康体检者50例（正常对照组）

应用VTQ技术分析正常对照组与不同时期的HT的剪切波速度（SWV）变化。结果Ⅰ类35例

Ⅱ类59例

Ⅲ类27例

Ⅳ类32例;对照组SWV值与总体HT组比较差异有统计学意义（P=0.000）;HT组Ⅰ、Ⅳ类与Ⅱ、Ⅲ类SWV比较差异均有统计学意义（均P=0.000）;随HT临床进程的发展SWV值由Ⅰ类逐渐升高至Ⅱ、Ⅲ类达峰值

至Ⅳ类逐渐下降。结论 HT患者组织弹性在不同临床进程中呈现不同变化

随炎症加重组织硬度逐渐升高。

Abstract

ObjectiveTo explore elastic change in thyroid tissue by virtual touch tissue quantification（VTQ）in thedifferent clinical course of Hashimoto’s thyroiditis（HT）.MethodsA total of 153 patients with HT（HT group）who wereclinically and serological diagnosed were retrospectively analyzed.According to the characteristics of two-dimensional ultrasoundimages of HT

the patients were divided into focal type（type Ⅰ）

nodular type（type Ⅱ）

diffuse echo reduction type（type Ⅲ）

and diffuse echo enhancement type（type Ⅳ）

respectively

corresponding to early period

advanced period

active period andrecovery period in the clinical course of HT.Another 50 healthy subjects were selected as normal control group.The changes ofshear wave velocity（SWV）in normal control group and in different period of HT were analyzed by VTQ.ResultsThere were 35 cases in type Ⅰ

59 cases in type Ⅱ

27 cases in type Ⅲ and 32 cases in type Ⅳ.The difference of SWV was statisticallysignificant between normal control group and HT group（P=0.000）.The differences of SWV were statistically significant betweentype Ⅰ

Ⅳ and type Ⅱ

Ⅲ（all P=0.000）. With the development of HT clinical process

the SWV value was rising highergradually from type Ⅰ to type Ⅱ and Ⅲ

and descending gradually in the process of the type Ⅳ.ConclusionThere is asignificant change of the tissue elasticity in the process of HT.The hardness of the thyroid tissue is ascending gradually when theinflammation in HT is aggravated.

关键词

超声检查声触诊组织定量桥本氏甲状腺炎剪切波速度

Keywords

UltrasonographyVirtual touch tissue quantificationHashimoto’s thyroiditisShear wave velocity

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