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本文总结并分析303例甲亢及甲肿病人吸~(131)碘率多种参数的特征,并评价其临床意义。甲亢病人三次吸~(131)碘率均增高者占98.1%,但有27.5%的甲肿病人亦增高将与其混淆。两次吸~(131)碘率增高(3小时、6小时),甲亢为100%,甲肿为28.8%。因此,单纯根据吸~(131)碘率增高对甲亢与甲肿鉴别有困难。吸~(131)碘率高峰提前对除外甲肿有意义(仅1.3%病例有高峰提前),但甲亢病人亦有51.9%并无高峰提前。根据吸~(131)碘率增高,高峰提前并结合 T_3抑制试验,进行综合评价,可对甲亢与甲肿进行有效的鉴别诊断。
This article summarizes and analyzes 303 patients with hyperthyroidism and patients with thyroid carcinoma suction ~ (131) iodine parameters of a variety of characteristics, and evaluate its clinical significance. Hyperthyroidism patients with three suction ~ (131) iodine rates were increased by 98.1%, but 27.5% of patients with elevated thyroidosis will be confused. Twice suction ~ (131) iodine rate increased (3 hours, 6 hours), hyperthyroidism was 100%, A was 28.8%. Therefore, simply based on suction ~ (131) iodine increased hyperthyroidism and pituitary identification difficulties. Absorption of iodine (131) peaked earlier on the exclusion of a significant role (only 1.3% of cases have peak early), but 51.9% of patients with hyperthyroidism did not peak ahead of schedule. According to the absorption of 131 iodine rate increased, the peak early and combined with T_3 inhibition test, a comprehensive evaluation of hyperthyroidism and swelling can be effective differential diagnosis.