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目的探讨桥本病甲状腺8项放免指标对桥本病的诊断价值。方法对1540例桥本病,用针吸细胞病理学方法与T3、T4等8项放免指标,进行观察比较。结果甲状腺针吸细胞学准确率98.4%,放免指标准确率79.8%,误诊率20.2%,核磁共振、CT、超声、影像技术,仅能报告冷结节、温结节、占位病变等,不能做最后诊断。结论免疫8项指标受各种因素影响,误诊率高。甲状腺针吸细胞病理学为桥本病首选的诊断指标。
Objective To investigate the diagnostic value of 8 indexes of Hashimoto’s thyroid gland thyroid gland on Hashimoto’s disease. Methods 1540 cases of Hashimoto’s disease, needle aspiration cytopathology and T3, T4 and other eight indicators to observe and compare. Results Thyroid needle aspiration cytology accuracy rate of 98.4%, radioimmunoassay accuracy rate of 79.8%, misdiagnosis rate of 20.2%, nuclear magnetic resonance, CT, ultrasound, imaging technology, can only report cold nodules, warm nodules, space lesions, etc., can not Make the final diagnosis. Conclusion Eight indicators of immunity are affected by various factors and the rate of misdiagnosis is high. Thyroid needle aspiration cell pathology preferred diagnosis of Hashimoto’s disease indicators.