散发型无痛性甲状腺炎183例临床分析  

Clinical Analysis of 183 Cases with Sporadic Type Painless Thyroiditis

作　　者：李玲[1] 包建东[1] 陈安芳[1] 高芸[1] 张春华[1] 

机构地区：[1]江苏省原子医学研究所附属江原医院内分泌科,无锡214063

出　　处：《中国交通医学杂志》2004年第6期644-645,共2页Chinese Medical JOurnal of Communications

摘　　要：目的 :防止散发型无痛性甲状腺炎 (SPT)与Graves病诊断的混淆。方法 :分析 183例SPT均经FT3、FT4 、TSH、甲状腺摄碘率 (RAIU )、B超和部分甲状腺细针穿刺活检 (FNAB)、TSH受体抗体 (TRAb)、彩色多普勒等检查确诊。结果 :甲状腺毒症期临床表现与Graves病相似 ;所有患者FT3、FT4 均高于正常 ,超敏TSH低于正常 ;RAIU 15 0例低于正常 ,3 3例正常 ;83例FNAB检查中 67例符合无痛性甲状腺炎病理表现 ;43例TRAb检测中 3 7例正常、6例低水平升高 ;96例甲状腺彩色多普勒均表现为甲状腺内血流量无明显增多、甲状腺上动脉的最高流速不超过 70cm /s。结论Objective:To elucidate the identification of the sporadic type painless thyroiditis(SPT) and Graves, disease in clinical diagnosis.Methods:183 cases of SPT from 2000 to 2003 were analyzed with retrospective investigation. FT 3,FT 4,TSH,radioactive iodine uptake (RAIU) and ultrasonic imaging were measured in all patients . Fine-needle aspiration biopsy (FNAB), TSH receptor antibody(TRAb),color Doppler were performed in some patients. Results:Clinical feature of SPT was similar to Graves, disease in thyrotoxic phase. The concentrations of serum FT 3 and FT 4 was increased and that of serum TSH was decreased in all patients. RAIU was decreased in 150 patients and kept normal in remains. The results of FNAB were accorded with the feature of SPT in 67 of 83 patients .The concentrations of TRAb were normal in 37 of 43 patients and were high at low level in 6 patients. Blood flow in thyroid was kept almost normal, STA Vmax does not exceed 70cm/s in 96 patients.Conclusions:The SPT should be kept in mind by physicians . It was very important for us to make a precision diagnosis of SPT by the analysis of clinical and laboratory feature.

关 键 词：散发型无痛性甲状腺炎 GRAVES病 诊断 

分 类 号：R581.4[医药卫生—内分泌]