The Research Of Correlation Between Ultrasound Characteristics Of Hashimoto’s Thyroiditis And TCM Syndromes

Objective: By studying the distribution of TCM syndromes of Hashimoto’s thyroiditis and the degree of thyroid damage under ultrasound,this paper explores 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.Utilizing the correlation between the two,thyroid ultrasound examination can provide relatively objective theoretical basis for TCM micro-syndrome differentiation,thus assisting the diagnosis and treatment of Hashimoto’s thyroiditis by TCM syndrome differentiation.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,blood flow and lymph nodes 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.The type of Chinese medicine syndrome in patients with Hashimoto thyroiditis is not related to age and gender(P>0.05).The thyroid function of Hashimoto thyroiditis patients was significantly related to the type of TCM syndrome(P<0.01)The thyroid function in patients with liver and Qi depression is more normal,hyperthyroidism in patients with Qi and Yin deficiency,hyperthyroidism in patients with blood stasis and phlegm coagulation,and hypothyroidism in patients with spleen and kidney 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).Ultrasonic manifestations of hypothyroidism in lymph nodes were not correlated with TCM syndromes(P>0.05).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.