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引用本文:盖宝东,石卫东,辛波,张德恒,郑泽霖. 372���Ǽ��Լ�״���׸������������[J]. 中国实用外科杂志, 2003, 23(3): 146-147
作者姓名:盖宝东  石卫东  辛波  张德恒  郑泽霖
作者单位:1. 吉林大学中日联谊医院基本外科,长春,130031
2. 吉林大学中日联谊医院电诊科,长春,130031
3. 解放军第208医院普外科,长春,130011
摘    要:目的 探讨辅助检查在诊断亚急性甲状腺炎中的作用。方法 回顾分析372例亚急性甲状腺炎病人所做的各项辅助检查结果。结果 血沉,B超,彩色多普勒,甲状腺核素扫描,甲状腺吸^131I率测定,细针穿刺细胞学,TMA,TGA等项检查诊断本病的阳性率分别为93.75%,81.63%,95.62%,89.66%,69.70%,89.41%,13.46%和9.62%。T3,T4,TSH检查结果随着病程的进展变化较大。结论 血沉检查对诊断本病缺乏特异性;彩色多普勒,细针穿刺细胞学检查诊断率高,特异性强,是首选的检查手段;甲状腺核素扫描可以准确地反映甲状腺功能状态;检测血清中T3,T4,TSH水平可以协助诊断本病,判断疾病所处时期。

关 键 词:亚急性甲状腺炎 影像检查 细针穿刺细胞学检查
文章编号:1005-2205(2003)03-0146-02

Analyze the result of adjunct examination in 372 cases of subacute thyroiditis
Gai Baodong,Shi Weidong,Xin Bo,et al.. Analyze the result of adjunct examination in 372 cases of subacute thyroiditis[J]. Chinese Journal of Practical Surgery, 2003, 23(3): 146-147
Authors:Gai Baodong  Shi Weidong  Xin Bo  et al.
Affiliation:Gai Baodong*,Shi Weidong,Xin Bo,et al.*Department of Basic Surgery,China-Japan Union Hospital of Jilin University,Changchun 130031,China
Abstract:Objective To discuss the function of versatile adjunct examination in the diagnosis of subacute thyroiditis. Methods Retrospectively analysed the adjunct examinations results of all 372 cases of subacute thyroiditis. Results The positive rate of ESR, ultrasonic examination,color doppler sonography, thyroid radionuclide imaging, radioiodine uptake rate, fine needle aspiration cytology, TMA, TGA in the diagnosis of subacute thyroiditis were 93.75%, 81.63%, 95.62%, 89.66%, 69.70 %, 89.41 %, 13.46% and 9.62%, respectively. The concentration of T 3, T 4 and TSH varied greatly with the progress of the disease.Conclusion The examination of ESR lacks specificity in the diagnosis, while the color doppler sonography and fine needle aspiration cytology do well in diagnosis, which has great specificity,is the first recommended examination. The thyroid radionuclide imaging can exactly demonstrate the function of thyroid. The levels of serum T 3, T 4 and TSH play a assistant role in diagnosis of the disease,by which the period of the disease is determined.
Keywords:Subacute thyroiditis Imaging examination Radionuclide imaging Fine needle aspiration cytology
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