(99m)~TcO4^-甲状腺双时相显像在甲状腺机能亢进诊断中的价值  

The value of (99m)~TcO4^-two - phase imaging in the diagnosis of hyrerthyroidism

作　　者：曹艳霞[1] 代瑞廷[1] 苏剑[1] 刘晓雪[1] 吴颂红[1] 田红英[1] 杨艳玲[1] 

机构地区：[1]河北省职工医学院附属医院核医学科,河北保定071000

出　　处：《河北职工医学院学报》2000年第4期1-2,共2页Journal of Hebei Medical College for Continuing Education

摘　　要：目的：探讨甲状腺双时相显像在鉴别甲亢与桥本氏病、亚甲炎甲亢期的价值。方法：对甲亢、桥本氏病、亚甲炎甲亢期患者进行９９ｍＴｃＯ４－甲状腺血流和静态显像。结果：３８例甲亢患者摄９９ｍＴｃＯ４－曲线均未见颈动脉峰，其中，８４．２％的患者５ｍｉｎ摄９９ｍＴｃＯ４－曲线为速升型（≥５０％），１５．８％为缓升型（４０％－４９％）。桥本氏病、亚甲炎甲亢期的患者，摄９９ｍＴｃＯ４－曲线均可见颈动脉峰，曲线为缓升型或低平型（＜５０％）。结论：甲状腺双时相显像鉴别甲亢和非甲亢疾病方法简便、安全，影响因素少，特异性高，可作为一种常规方法。Objective To evaluate the value of 99mTcO4- two- phase imaging in the diagnosis hyperthyroidism, hashimitos and subacute thyroiditis diseases. Methods Thyroid blood flow and static imaging with 99mTcO4- were carried out in hyperthyroidism, hashimotos and suhacute thyroiditis diseases. Results Carotid blood flow top of 99mTcO4 uptake curve diagram couldn' t be seen in 38 patients with hyperthyroidism. Of the patients, more them 50% patients'99mTcO4 uptake curve deagram showed quick increase (84. 2% ) in 5 minutes, some patients' indicated slow inerease(15. 8% ). Carotid blood flow top of 99mTcO4 uptake curve diagram could be seen in the patients with hashimotos and suhacute thyroidiis diseases, the uptake curve diagram showed slow increase(< 50% ). Conclusion Thyroid bolld flow and static imaging can be used to distinguish hegperthyroidism and non - hyperthyroidism disease, which are simple, convtenient and safe, they have fewer influence facfors and higher specificity. It can be used as routine diagnostic methed.

关 键 词：甲亢 患者 诊断 亚甲炎 桥本氏病 甲状腺 时相 曲线 结论 常规方法 

分 类 号：R581[医药卫生—内分泌] R653[医药卫生—内科学]