摘要
目的 探讨亚急性甲状腺炎 (SAT)的病因、诊断及治疗。方法 回顾性总结分析 1980～ 1998年经治的SAT的临床资料。结果 女性多于男性 ,发病年龄 30～ 5 0岁者占 78% ;全部病人均有甲状腺肿大及触痛 ,17例呈T3、T4 与甲状腺摄碘率分离现象 ;2 9例予强的松治疗 ,效果良好 ;误行手术 3例 ,2例出现术后甲状腺机能减退且需替代治疗。结论 确立SAT的诊断应重视详细询问病史 ,并进行必要的辅助检查 ,核医学检查是诊断本病的重要方法 ,必要时可行诊断性治疗及穿刺细胞学检查。肾上腺糖皮质激素是本病最有效的药物 。
Objective To study the causes,diagnosis and treatment of subacute granulomatous thyroiditis(SAT).Methods Clinical data of 32 cases with SAT were analyzed retrospectively.Results It was much more common in women than men,and 78% cases with SAT occurred during 30～50 years old.All these cases were characterized by enlargement of the thyroid with pain and tenderness,17 of which showed that radioiodine uptake was low with increased serum thyroid hormone levels.29 cases were treated by prednisone and recovered well,and the rest 3 cases underwent operation incorrectly.Conclusion Confirmation of SAT should put emphasis on a complete history and physical examination and obtain necessary tests.Nuclear medicine tests play an important role in diagnosis,and the diagnostic drug treatment or needle aspiration biopsy may be performed in suspected cases.Glucocorticoid is the best therapy to this kind of disease.There is no need for operation.
出处
《中国实用外科杂志》
CSCD
北大核心
2000年第2期100-101,共2页
Chinese Journal of Practical Surgery
关键词
甲状腺炎
亚急性
诊断
治疗
Thyroiditis\ Subacute\ Diagnosis\ Treatment
