亚急性甲状腺炎诊治研究进展

亚急性甲状腺炎在甲状腺疾病中发病率为0.5%～2.0%,典型表现为甲状腺疼痛,伴有甲状腺功能亢进症状、促甲状腺素水平降低、甲状腺摄碘率降低和红细胞沉降率升高等。临床诊断主要依据病史、临床表现、实验室检查等,超声、CT、甲状腺体外显像等影像学检查可为临床确诊进一步提供依据,细针抽吸活组织检查及病理学检查可确诊。目前治疗上主要为非甾体类抗炎药、糖皮质激素,必要时甲状腺激素治疗。

Progress in Diagnosis and Treatment of Subacute granulomatous Thyroiditis

Subacute granulomatans thyroiditis（SAT） has an incidence of 0. 5%-2.0% in thyoid disease, whose typical clinical features include thyroid pain with symptoms of hyperthyroidism, suppressed levels of thyroid stimulating hormone,low thyroid uptake of radioactive iodine, and elevated erythrocyte sedimentation rate. Clinical diagnosis bases on history, clinical presentation,laboratory tests and so on. Ultrasound, CT, thyroid imaging in vitro and other imaging studies may further provide the basis for clinical diagnosis. Fine needle aspiration biopsy and pathological diagnosis can be confirmed. The main treatment of SAT is non-steroidal anti-inflammatory drugs and corticosteroids and thyroid hormone can be gived when necessary.