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目的 :探讨首诊于耳鼻咽喉科的亚急性甲状腺炎患者的咽部症状以及甲状腺单光子发射型计算机断层 ( SPECT)和甲状腺细针细胞学检查 ( FN B)对亚急性甲状腺炎的诊断价值。方法 :记录 3 0例亚急性甲状腺炎患者的咽部症状 ,测定血清 T3、T4 水平 ,对患者进行甲状腺 SPECT显像 ,结合甲状腺 FNB。结果 :2 1例存在程度不同的咽痛 ,9例存在咽异感症。经 SPECT直接确诊 6例 ,SPECT结合 FNB确诊 2 2例 ,另 2例经试用泼尼松最后确诊。结论 :咽痛和咽异感症是亚急性甲状腺炎的重要症状 ,甲状腺 SPECT和 FNB对亚急性甲状腺炎的诊断具有重要价值。
Objective: To investigate the pharyngeal symptoms of subacute thyroiditis patients diagnosed as otorhinolaryngology and the diagnostic value of single thyroid photon emission computed tomography (SPECT) and thyroid fine needle cytology (FN B) in the diagnosis of subacute thyroiditis. Methods: The throat symptoms of 30 patients with subacute thyroiditis were recorded. The levels of serum T3 and T4 were measured. Thyroid SPECT imaging and thyroid FNB were performed. Results: There were 21 cases of sore throat with different degrees and 9 cases with pharyngeal sore throat. Six cases were diagnosed directly by SPECT, twenty-two cases were confirmed by SPECT combined with FNB, and the other two cases were confirmed by prednisone. Conclusion: Sopharyngeal and pharyngeal dysarthria are important symptoms of subacute thyroiditis. Thyroid SPECT and FNB are of great value in the diagnosis of subacute thyroiditis.