亚急性甲状腺炎的细胞学诊断与局部免疫调节治疗  

The Cytology and Diagnosis of Subacute Thyroiditis and Immunoregulatory Therapy

作　　者：王旭波[1] 陆美琪[2] 石龙姣[1] 汪瑞民[3] 

机构地区：[1]徐州医学院第二附属医院(徐州矿务集团总医院)病理科 [2]徐州医学院第二附属医院(徐州矿务集团总医院)内分泌科,江苏省徐州市221006 [3]徐州医学院第二附属医院(徐州矿务集团总医院)影像科,江苏省徐州市221006

出　　处：《医学理论与实践》2007年第11期1264-1266,共3页The Journal of Medical Theory and Practice

基　　金：徐州矿务集团科研课题(2005-32WS)

摘　　要：目的:探讨亚急性甲状腺炎的细胞病理学诊断价值、观察甲状腺局部免疫调节治疗的效果。方法:对临床、血清学和超声学诊断为亚急性甲状腺炎的患者行细针吸取细胞病理学诊断,68例患者分为3组:A组23例口服药物加局部免疫调节治疗;B组23例局部免疫调节治疗;C组22例口服药物。结果:3组68例患者均经细胞病理学诊断,治疗后显示:A组疗效最佳,B组次之,A、B两组与C组之间比较有显著性差异,A、B组之间比较差异无显著性。结论:细针吸取细胞病理学诊断亚急性甲状腺炎客观、准确、特异;地塞米松局部免疫调节治疗亚急性甲状腺炎疗效显著,局部加全身联合用药效果更佳。　Objective：To investigate the cytology and diagnosis of subacute thyroiditis and immunosuppressant therapy.Methods：The clinical characteristics,diagnsosis and immunosuppressant therapy of 68 cases of subactuethyroiditis were analyzed.Results：68 case of subactue thyroiditis were divided into three groups.23 cases were treated with intrathyroid injection of dexamethasone and oral medication.23 cases were treated with intrathyroid injection of dexamethasone.22 cases were treated with oral medication.Conclusions： Immunosuppressant therapy of sabacute granulomatons thyroiditis,all recoverd well,and the treated with intrathyroid injection of dexamethasone and oral medication is the best all of the three groups.

关 键 词：甲状腺疾病 亚急性甲状腺炎 细胞学 局部免疫调节 

分 类 号：R581.4[医药卫生—内分泌]