文章摘要
桥本甲状腺炎超声表现与中医证型的相关性研究
The research of correlation between ultrasound characteristics of Hashimoto''s thyroiditis and TCM syndromes.
投稿时间:2021-03-04  修订日期:2021-03-04
DOI:
中文关键词: 桥本甲状腺炎  超声  中医证型
英文关键词: Hashimoto thyroiditis  ultrasound  TCM syndrome
基金项目:
作者单位邮编
李林 山东中医药大学 250000
朱建敏 山东中医药大学 250000
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中文摘要:
      目的:探究桥本甲状腺炎各中医证型分布及与甲状腺的超声表现,即大小、回声、血流信号等因素的相关性。方法:本研究通过收集符合纳入标准的桥本甲状腺炎病例285例,根据症状及体征进行中医辨证分型。记录患者彩超下的甲状腺大小、回声、血流等超声表现。利用SPSS22.0软件进行统计分析,得出其相关性结论。结果:在所研究的285例桥本甲状腺炎患者病例中,按中医证型分类,由多至少依次为肝气郁滞型,血瘀痰凝型、气阴两虚型和脾肾阳虚型。彩超下的甲状腺大小、回声、血流与中医证型有显著的相关性(P<0.01),肝气郁滞型患者甲状腺超声表现以正常大小,回声不均匀,血流正常(0级)为主;气阴两虚型患者甲状腺超声表现以体积偏大,小片状低回声区或条索状强回声,血流丰富(Ⅰ级)为主;血瘀痰凝型患者甲状腺超声表现以体积偏大,条索状强回声,可伴有结节,血流丰富(Ⅰ级、Ⅱ级)为主;脾肾阳虚型患者甲状腺超声表现以体积偏大,多发结节样回声,伴有网格样改变,血流多正常(0级、Ⅰ级)。结论:超声下桥本甲状腺炎的甲状腺大小、回声、血流信号等与其中医证型有一定的相关性和规律性。可以看出甲状腺超声能够辅助桥本甲状腺炎的中医辨证诊断,为中医的微观辨证提供相对较客观的理论依据。
英文摘要:
      Objective: To explore the distribution of TCM syndromes of Hashimoto''s thyroiditis and its correlation with the ultrasonic manifestations of thyroid, such as size, echo, blood flow signals and other factors.Methods: In this study, 285 cases of Hashimoto thyroiditis were collected, and the basic clinical data were objectively recorded. The syndrome differentiation and typing were carried out according to the symptoms and signs. The size of thyroid gland, echo and blood flow were recorded by color Doppler ultrasonography. SPSS22.0 software was used for statistical analysis, and the relevant conclusions were drawn.Results: Among the 285 cases of Hashimoto thyroiditis studied, according to the classification of traditional Chinese medicine syndrome, the most patients were at least in order of liver Qi and stagnation, blood stasis and phlegm condensation, Qi and Yin deficiency, and spleen and kidney Yang deficiency.Thyroid size, Echo, and blood flow were significantly correlated with TCM syndrome type(P<0.01) Thyroid ultrasonography in patients with hepatic Qi depression was of normal size, the echo was uneven, and the blood flow was normal(Grade 0); Thyroid ultrasonography in patients with Qi and Yin deficiency was characterized by large volume, small flaky low echo areas or rope-like strong echoes, and rich blood flow(Grade I). Thyroid ultrasonography in patients with blood stasis and phlegm coagulation showed a large volume, a rosette strong Echo, which could be accompanied by nodules and abundant blood flow(Grade I and II). Thyroid ultrasonography in patients with spleen and kidney deficiency showed large volume, multiple nodular echoes, with grid changes, and blood flow was more normal(Grade 0 and I). Conclusion: Hashimoto''s thyroiditis has a certain correlation and regularity between thyroid size, Echo, and blood flow signals under ultrasound and various TCM types. It can be seen that thyroid ultrasound can assist the diagnosis of Chinese medicine syndrome differentiation of Hashimoto thyroiditis and provide a relatively objective theoretical basis for the microscopic differentiation of Chinese medicine.
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