摘要
目的利用核医学检查与超声诊断技术提高亚急性甲状腺炎(SAT)的诊断准确率。方法实验组随机选择61例SAT患者,核医学实验室检测血清FT3、FT4、TSH,甲状腺6h摄碘率(RAIU/6h),并进行甲状腺核素扫描,所有患者均行超声检查。另设30例正常人作为对照组仅行甲状腺超声检查。结果以TH与RAIU/6h呈分离现象或核素显像阳性为依据,核医学实验室诊断SAT阳性率为95.1%(58/61),超声诊断阳性率为81.9%(50/61),核医学诊断阳性率明显高于超声检查(P<0.05),两种检查方法相结合诊断率达100%.甲状腺超声测定结果表明实验组甲状腺明显大于正常对照组(P<0.05)。结论核医学检查与超声检查相结合,有利于提高SAT的诊断准确率。
Objective To study the clinical value of nuclear medicine and B-ultrasonic on subacute thyroiditis （SAT）. Methods All sixty-one persons with SAT were examined by nuclear medicine, including thyroid hormone, TSH, the rate of radioiodine uptake at 6 hours （RAIU/6h） and nuclide imaging on thyroid. Persons with SAT and 30 normal healthy persons were all examined by B-ultrasonic. Results The positive rate of SAT was 95. 1 % （58/61）examined by nuclear medicine according to nuclide imaging or the TH level which was disobedient to RAIU/6h. The positive rate of SAT was 81. 9 % （50/6 1）by B-ultrasonic examination. There was an obvious difference in the positive rate of SAT examined by the two different methods（ P 〈 0.05 ）. And the positive rate of SAT was nearly 100% examined by both nuclear medicine and B-ultrasonic at the same time. The thyroids of SAT were much larger than normal judged by B-ultrasonic （ P 〈 0.05 ）. Conclusion It is very important to combine nuclear medicine and B-ultrasonic to improve the diagnosis of SAT.
出处
《潍坊医学院学报》
2007年第2期173-174,共2页
Acta Academiae Medicinae Weifang
