313例甲状腺疾病核素显像的回顾性分析  

A Retrospective Analysis of Radionuclide Imaging of 313 Cases of Thyroid Diseases

作　　者：王慧[1] 李广宙[1] 李洪忠[2] 刘志翔[1] 于霞[1] 朱雁冬[1] 孙涛[1] 张磊[1] 谢海[1] 

机构地区：[1]潍坊医学院核医学教研室,山东潍坊261041 [2]山东省立医院,山东济南250021

出　　处：《湖北民族学院学报（医学版）》2011年第1期32-34,共3页Journal of Hubei Minzu University(Medical Edition)

摘　　要：目的分析甲状腺疾病核素显像的特点,探讨核素显像在甲状腺疾病中的诊断价值。方法回顾性分析行核素显像检查的313例患者,其中亚急性甲状腺炎和桥本氏甲状腺炎各110例、甲状腺结节性疾病(不包含亚急性甲状腺炎、慢性淋巴细胞性甲状腺炎患者)93例,根据各种甲状腺炎的放射功能特点进行分组,用SPSS15.0进行统计分析。结果亚急性甲状腺炎中,放射性摄取程度为0、1、2、3的患者分别为6例、90例、11例、3例。桥本氏甲状腺病中,75.2%的患者甲状腺静态显像表现为放射性分布不均匀,甲状腺功能亢进、正常及减低组分别有33.1%、62.0%、85%的患者表现为"峰""谷"样改变。甲状腺结节性疾病中,确诊为结节性甲状腺肿、甲状腺腺瘤和甲状腺癌3种疾病,其"冷"、"凉"、"温"、"热"数分别为104、15和14,"冷"结节的发生率分别为49.28%、0.00%、64.29%,"温"结节的发生率分别为13.46%、33.33%、7.14%,"热"结节的发生率分别为12.50%、60.00%、0.00%。结论甲状腺显像对亚急性甲状腺炎的病情发展及疗效的监测、功能正常和减低的桥本氏甲状腺炎以及表现为"冷""热"结节的甲状腺结节性疾病的诊断有重要的意义。Objective To conduct retrospective analysis of the characteristics of radionuclide ima-ging of thyroid disease and discuss the diagnostic value of the radionuclide imaging.Methods Retrospective analyses were conducted on the 313 thyroid disease patients,including 110 cases of subacute thyroiditis,110 cases of chronic lymphocytic thyroiditis,93 cases of thyroidnodule diseases（not including subacute thyroiditis,chronic lymphocytic thyroiditis）.According to disease radiation function characteristics,Grouping was made and the above data were re-spectively analyzed by SPSS15.0.Results Of the 110 cases of subacute thyroiditis,6 cases,90cases,11 cases and 3 cases had the radioactive intake level 0,1,2,3 respectively.Among the110 cases of chronic lymphocytic thyroiditis,75.2% patients had uneven radioactive distribution of thyroid static images,hyperthyroidism,normal and minimizing groups being 33.1%,62.0%,85 % respectively.Of the 93 patients with thyroid nodule disease,the diagnosed diseaseswere Nodular goiter,thyroid adenomas and thyroid carcinoma with ＂cold＂,＂cool＂,＂warm＂and＂hot＂four nodules number being 104,15 and 14 respectively.The incidence of ＂cold＂ nodules in three kinds of disease was 49.28%,0.00% and 64.29% respectively,the incidenceof＂warm＂nodules was 13.46%,33.33% and 7.14% respectively,the incidence of ＂hot＂nodules was 12.50%,60.00% and 0.00% respectively.Conclusion It is significant to apply thyroid imaging to monitor the state of illness and the curative effect of subacute thyroiditis,to diagnose euthyroidism and hypothyroidism of chronic lymphocytic thyroiditis,＂cold＂ and ＂hot＂nodules of thyroid nodule disease diagnosis.

关 键 词：甲状腺炎 放射性核素成像 99mTcO4- 甲状腺功能 诊断应用 

分 类 号：R581[医药卫生—内分泌]