论文部分内容阅读
目的 探讨辅助检查在诊断亚急性甲状腺炎中的作用。方法 回顾分析 372例亚急性甲状腺炎病人所做的各项辅助检查结果。结果 血沉、B超、彩色多普勒、甲状腺核素扫描、甲状腺吸131I率测定、细针穿刺细胞学、TMA、TGA等项检查诊断本病的阳性率分别为 93 75 %、81 6 3 %、95 6 2 %、89 6 6 %、6 9 70 %、89 41%、13 46 %和 9 6 2 %。T3、T4 、TSH检查结果随着病程的进展变化较大。结论 血沉检查对诊断本病缺乏特异性 ;彩色多普勒、细针穿刺细胞学检查诊断率高 ,特异性强 ,是首选的检查手段 ;甲状腺核素扫描可以准确地反映甲状腺功能状态 ;检测血清中T3、T4 、TSH水平可以协助诊断本病 ,判断疾病所处时期。
Objective To explore the role of laboratory examinations in the diagnosis of subacute thyroiditis. Methods Retrospective analysis of 372 cases of subacute thyroiditis in patients with the auxiliary examination results. Results The positive rates of ESR, B ultrasound, color Doppler, thyroid radionuclide scanning, 131I thyroid uptake, fine needle aspiration cytology, TMA and TGA were 93 75% and 81 6 3% , 95 6 2%, 89 6 6%, 6 9 70%, 89 41%, 13 46% and 96 2%. T3, T4, TSH test results vary greatly with the progress of the disease. Conclusions ESR is not specific to the diagnosis of this disease. Color Doppler and fine needle aspiration cytology have high diagnostic and specificity, which is the first choice of examination. Thyroid radionuclide scan can accurately reflect thyroid function, In T3, T4, TSH level can help diagnose the disease, to determine the disease period.