Clinical value of hemodynamics in the lesions examined by color Doppler ultrasonography in the prognosis of subacute thyroiditis
SUN Wei
XIANG Santing
HAN Yu
Abstract：Objective To investigate the relationship between the hemodynamics in the lesions examined by color Doppler ultrasonography and prognosis of subacute thyroiditis,thus providing references for early targeted treatment.Methods From January 2023 to September,a total of 105 subacute thyroiditis patients were selected.All patients were followed up for 1 year.They were divided into the normal thyroid function group(86 cases)and hypothyroidism group(19 cases)according to the presence or absence of the thyroid dysfunction,and they were also assigned to rehabilitation group(94 cases)and recurrence group(11 cases)according to the presence or absence of the recurrence.The clinical data,resistance index(RI),pulsatility index(PI)were compared,Logistic regression analyzed the influencing factors for the prognosis of subacute thyroiditis.Results There were significant differences in respiratory symptoms,fatigue,thyroglobulin antibody(TG-Ab),thyroid peroxidase antibody(TPO-Ab),white blood cell count(WBC),RI,PI between the normal thyroid function group and the hypothyroidism group(P＜0.05).Significant differences in age,fatigue,TG-Ab,TPO-Ab,RI,and PI were found between the rehabilitation group and recurrence group(P＜0.05).Multivariate logistic regression analysis showed that elevated TG-Ab(OR:1.046,95％CI:1.006-1.099,P=0.042),decreased RI(OR:0.043,95％CI:0.017-0.881,P=0.031),and decreased PI(OR:0.054,95％CI:0.030-0.974,P=0.034)were risk factors for hypothyroidism.Symptoms of fatigue(OR:0.043,95％CI:0.017-0.881,P=0.031),decreased RI(OR:0.034,95％CI:0.018-0.058,P=0.011),and decreased PI(OR:0.276,95％CI:0.028-0.723,P=0.033)were risk factors for recurrence of subacute thyroiditis.Conclusion The hemodynamic parameters RI and PI within the lesions of subacute thyroiditis are related to the recurrence of subacute thyroiditis and hypothyroidism,and can be used as the indicators to evaluate the prognosis.
Keywords：subacute thyroiditiscolor Doppler ultrasonographyhemodynamicsprognosis
Publication Date：2025-12-26
Online Publishing Date：2026-01-15(First online date of this platform, not the publication date of the document)
Pages：5( 1992-1995,2000 )