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目的探讨单纯甲状腺自身抗体阳性患者的超声声像图特征及其与女性不良妊娠、不孕症的关系及应用价值。方法对54例甲状腺自身抗体阳性患者的甲状腺超声显像的特点及临床资料进行回顾性总结分析。结果甲状腺体积增大者51例(94.4%);峡部增厚者33例(61.1%);实质回声弥漫性增粗、增强、减低者48例(88.9%);局限性减低者2例(3.7%);实质回声呈网格状改变者2例(3.7%);伴单发或多发结节者12例(22.2%);甲状腺上动脉峰值流速略增高者23例(42.6%);血流信号稍增多者14例(25.9%);血流血流信号不明显者<0例(74.1%);甲状腺功能正常者51例,甲状腺功能异常者(TSH略增高)3例,不良妊娠及不孕症患者49例,余5例为正常孕前体检。结论单纯甲状腺自身抗体阳性患者的超声检查结果显示其甲状腺结构基本都有改变,并与女性不良妊娠及不孕症密切相关,甲状腺超声检查在生殖中心女性不良妊娠及不孕症中的应用具有必要性。
Objective To investigate the ultrasonographic features of thyroid autoantibodies and its relationship with adverse pregnancy and infertility in women. Methods The characteristics and clinical data of thyroid ultrasound imaging in 54 cases of thyroid autoantibodies were retrospectively analyzed. Results Thyroid volume increased in 51 cases (94.4%); isthmus thickening in 33 cases (61.1%); substantial echo diffuse thickening, enhancement and reduction in 48 cases (88.9%); (22.2%) with single or multiple nodules; 23 cases (42.6%) with slightly increased peak thyroid artery velocity; blood flow 14 cases (25.9%) had slightly increased signal; 0 cases (74.1%) had not obvious blood flow signal; 51 cases had normal thyroid function; 3 cases had abnormal thyroid function (TSH slightly increased); 3 cases had adverse pregnancy; 49 cases of pregnant women, more than 5 cases of normal pregnancy test. Conclusion The results of ultrasonography in patients with positive thyroid autoantibodies showed that the thyroid gland basically changed, and it was closely related to adverse pregnancy and infertility. The application of thyroid ultrasonography in adverse pregnancy and infertility in the reproductive center is necessary Sex.