140例亚急性甲状腺炎临床分析与核医学诊断  

Clinical Analysis and Nuclear Medicine Diagnosis in 140 Patients with Subacute Thyroiditis

作　　者：张宝泉[1] 谭建[1] 高硕[1] 陈国英[2] 

机构地区：[1]天津医科大学总医院核医学科,300052 [2]天津市职工医学院生化教研组

出　　处：《天津医药》2001年第6期338-340,共3页Tianjin Medical Journal

摘　　要：目的:为提高亚甲炎的诊断率。方法:对140例亚甲炎病人的临床和核医学资料进行分析。结果:甲肿、甲状腺自觉疼或(和)压痛、全身乏力、发热或(和)发热史、放射疼和前驱症状的出现率,在典型亚甲炎分列居前6位。^(131)I摄取率测定值<5％的病例占89.8％,TT3、TT4上升和碘摄取率明显下降的“分离现象”占79.7％,甲状腺体征与显像结果不一致者占29.6％。治疗1个月复查,γ照像48％恢复正常,复查碘摄取率8％恢复正常。4个月时复查,两者无大差别。结论:充分、合理、综合地使用核技术,对亚甲炎的早期诊断、鉴别诊断、疗效监测均有重要意义。Objective:To deepen our understanding of subacute thyroiditis (SAT). Methods: One hundred and forty cases with SAT were analyzed based on clinical materials and nuclear medicine examination. Results: The percentage of predominant symptoms and sign in 140 cases such as enlarged thyroid, neck pain and (or) tender, malaise and fatigue, faverishness or previous radiation of pain, upper-respiratory infection and (or) premonitory symptom were 100% ,95.7% ,92.1% ,90% , 88.6 %and 67.1 % respectively. The results of RAIU were less than 5 % in 89.8 %, 79.7 % cases showed the separating phenomenon between RAIU decrease and thyroid hormone increase. The anomalous radionuclide scan was found in 100% cases. The results got from y scan were inconsistent with the palpation in 32/108 (29.6 %). The result of thyroid scan and RAIU returned to normal in 48% and 8% cases after one month therapy, while in 88% and 100% cases after four month therapy. Conclusion: The difference between y scan and physical examination is helpful for diagnosis and differential diagnosis of SAT. Utilizing of RAIU and thyroid imaging is helpful for early diagnosis and follow-up of SAT.

关 键 词：亚急性甲状腺炎 碘放射性同位素 诊断显像 

分 类 号：R581.4[医药卫生—内分泌] R817.46[医药卫生—内科学]