Objective:To study the relationship between ultrasound characteristics and TCM syndrome types in subacute thyrotitis.Methods:124 patients with subacute thyroidtitis were selected.The results were compared with the results of TCM syndrome.Results:Among the 124 patients,58 cases were wind-heat-phlegm coagula-tion type,46.77 % were Qi-yin deficiency and phlegm-coagulation type 45 cases,accounting for 36.29 %,and the liver-qi deficiency type 21 cases,accounting for 16.94 %,wind-hot sputum Coagulant type patients often ap-pear goiter,flaky hypoechoic area,peripheral blood flow signal rich,such as imaging characteristics,Qi and Yin defi-ciency and phlegm coagulation type of flake low echo area,peripheral blood flow signal rich characteristics.The main symptom types of patients with deficiency of liver-qi were hypoechoic peripheral blood flow signal,the scores of acute stage patients were mainly 4 points,stable stage was mainly 2 points,and recovery stage was mainly 1 point.The im-aging scores of patients at different stages were different.The difference was statistically significant(P<0.05,P<0.05).Conclusion:the ultrasonic characteristics of subacute thyroiditis are closely related to TCM syndromes.The same ultrasonic features can express the characteristics of different TCM syndromes in patients,and can be used as the basis for imaging diagnosis of TCM syndrome.%目的:探讨亚急性甲状腺炎超声特征和中医证型之间的联系.方法:选择亚急性甲状腺炎患者124例,对患者进行中医证型,同时对患者进行超声弹性成像检查,将检查结果与中医证型结果进行对比,分析患者的超声检查结果与中医证型之间的关系.结果:所选124例患者中,风热痰凝型58例,占46.77%;气阴两虚兼痰凝型45例,占36.29%;肝郁气虚型21例,占16.94%,风热痰凝型患者多出现甲状腺肿大、片状低回声区、周边血流信号丰富、等影像学特点,气阴两虚兼痰凝型的片状低回声区、周边血流信号丰富的特点,肝郁气虚型患者则以低回声区周边血流信号为主要的症状类型,急性期患者的得分以4分为主,稳定期以2分为主,恢复期以1分为主,不同时期患者的影像学检查评分结果不同,差异有统计学意义(P<0.05).结论:亚急性甲状腺炎患者的超声特征与中医证型之间的联系密切,不同的超声特征能够明显表达出患者的不同中医证型特点,能够作为中医证型诊断的影像学检查依据.
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