《桥本甲状腺炎》PPT课件.ppt_第1页
《桥本甲状腺炎》PPT课件.ppt_第2页
《桥本甲状腺炎》PPT课件.ppt_第3页
《桥本甲状腺炎》PPT课件.ppt_第4页
《桥本甲状腺炎》PPT课件.ppt_第5页
已阅读5页,还剩24页未读 继续免费阅读

VIP免费下载

版权说明:本文档由用户提供并上传,收益归属内容提供方,若内容存在侵权,请进行举报或认领

文档简介

TheultrasonicdiagnosisofHashimotothyroiditis Tutor ZhengMinSpeaker WangLing IntroductionClinicalmanifestationsUltrasoundperformanceDifferentialdiagnosisSummary Hashimotothyroiditisalsocalledchroniclymphocyticthyroiditis JapanesescholarsHashimotoreportedfirstlyaccordingtothehistologicfeatures thatisthemostcommononeofautoimmunethyroiddiseases HTdiseaseslowly clinicalmanifestationisnotverytypical Andthecourseofalong pathologicalchangesandthyroidfunctionstateperformanceisdifferent sotheultrasonographyfindingsiscomplex Introduction From80 to90 patientsmainlymanifestedasthyroiddiffuseenlargementofasymmetry thyroidtexturetoughsuchasrubbersample withthesurroundingtissuewithoutadhesion Thelatecourseismorenodularoratrophy Earlymayhavehyperthyroidismperformance Latehypothyroidism Maybeduetothyroidatrophyperformanceformyxedema impotentandsoon Clinicalmanifestation Ultrasonographiccharacteristics thyroiddiffuseenlargementofasymmetry isthmusisobvious Theinternalechoreduction unevendistribution Thevisiblethinwire likeorcoarsenetwork likestrongecho Twodimensionalultrasonography LocalHTisrelativelyrare thatisaspecialtype earlymanifest Suchaseffectivelyandtimelytreatment prognosisandoutcomeisbetterUltrasonographyisonesideorbothsidelobeofthyroidownsingleormultipleunevenandhypoechoiczone boundaryclear formowerules like pattern spaceoccupyinglesioneffectisnotobvious EchoUnevennesstype Normalthyroidvolumeorbiger multipleuneven Increasingcoarseorfinewiresamplestrongecho Patchtype Normalthyroidvolumeorbiger diffuseddistributionsheethypoecho Diffusetype Thyroidvolumeincrease Essenceisdiffusetypeechoreduce Nodulestype Thyroidvolumeincrease diffusedistributionrangingfromthesizeofthehigh loworequalecho Classification 回声不均型 甲状腺球蛋白抗体 TGA 阳性 T3 T4 TSH正常 斑片型 弥漫型 结节型 Ultrasonicfoundtrachealsideswollenlymphnodes Isautoimmunethyroiddiseasemorespecificultrasoniconeofthesigns manifest Thyroidisthmusfront bilateralleafunderroundorovalechoic morphologicalrules partoftheskinmedullaboundaryclear earlyperiod essenceBloodflowsignalrich Eventheinfernosign PSVrise Prompthyperthyroidismornormal Withtheprogressofthedisease Therichbloodflowsignificantlylowerlevel PSVdroppedevenlowerthannormal Prompttypothyroidism laterperiod Bloodflowsignalsignificantlyreduced velocityobviouslyreduced PromptThyroidfunctionsignificantlyimpaired CDFI HTflowsignalmostsignificantlyincreased firesyndrome Thesignsmayoccurearlyhyperthyroidism stage alsobefoundinthelate hypothyroidism stage ThisnoteshouldnoticethyroidPSV andcombinethyroidfunctiontests SubacutethyroiditisNodulargoiterHyperthyroidism Differentialdiagnosis Thyroidprofileisnormalorincreased seeninsheethypoechoicarea moreirregular rearechoslightlyenhanced theisthmusisnoobviousthickening CDFI bloodflowisrichsurroundinghypoechoicarea butinternalflowsignalsisfewerornoSignal Subacutethyroiditis Theformerincreasemainlyaboutthesizeofthyroid thelatterincreasemainlyanteroposteriordiameter Isthmusthickening aninternalnetworkoracord likeechogenic Hyperthyroidism 甲亢 桥本 Twodimensionalultrasonography Thyroidsolitaryormultiplenodules Varyinsize Echodiversification CDFI Bloodflowsignaloccurringinbetweennodule butNodulesintheperipheralandintranodularbloodflowsignalless Nodulargoiter HTultrasonographyhascertaincharacteristics inthediagnosisanddifferentialdiagnosisofclinicalsignificance Inviewofthelongcourseofdisease comorbidity withcomplicatedclinicalmanifestations itssonographicappearancesarealsodifferent stillneededtobecombinedwithclin

温馨提示

  • 1. 本站所有资源如无特殊说明,都需要本地电脑安装OFFICE2007和PDF阅读器。图纸软件为CAD,CAXA,PROE,UG,SolidWorks等.压缩文件请下载最新的WinRAR软件解压。
  • 2. 本站的文档不包含任何第三方提供的附件图纸等,如果需要附件,请联系上传者。文件的所有权益归上传用户所有。
  • 3. 本站RAR压缩包中若带图纸,网页内容里面会有图纸预览,若没有图纸预览就没有图纸。
  • 4. 未经权益所有人同意不得将文件中的内容挪作商业或盈利用途。
  • 5. 人人文库网仅提供信息存储空间,仅对用户上传内容的表现方式做保护处理,对用户上传分享的文档内容本身不做任何修改或编辑,并不能对任何下载内容负责。
  • 6. 下载文件中如有侵权或不适当内容,请与我们联系,我们立即纠正。
  • 7. 本站不保证下载资源的准确性、安全性和完整性, 同时也不承担用户因使用这些下载资源对自己和他人造成任何形式的伤害或损失。

评论

0/150

提交评论