摘要
目的:探讨摄碘功能测定和甲状腺显像在无痛性甲状腺炎诊断中的应用价值。方法:对57例无痛性甲状腺炎患者进行了甲状腺激素、甲状腺自身抗体、甲状腺摄碘率、甲状腺显像及血沉(ESR)检查,并与87例Graves病、56例桥本氏病患者做对比分析。结果:三组甲状腺疾病FT3、FT4值均升高,TSH均降低,与正常对照组比较均有显著差异;无痛性甲状腺炎组FT3、FT4水平较Graves病组低,与桥本氏病组比较无显著性差异。无痛性甲状腺炎组TGAb、TPOAb水平明显高于正常对照组,而显著低于Graves病组和桥本氏病组。无痛性甲状腺炎组甲状腺不显影,摄锝比值及摄碘率极低,与Graves病组及桥本氏病组比较有显著差异。而87例Graves病、56例桥本氏病患者甲状腺均显影,甲状腺轮廓清晰。三组患者之间的ESR水平比较无显著差异。结论:甲状腺摄碘功能测定及甲状腺显像能较准确的反映甲状腺疾病的功能、受损的范围及程度,是诊断无痛性甲状腺炎有效的检查方法。
Objective：To explore the value of iodine uptake ratio and thyroid scintigraphy in the diagnosis of painless thyroiditis.Methods：Thyroid hormones,thyroid autoantibodies level,as well as thyroid iodine uptake ratio,thyroid scintigraphy and erythrocyte sedimentation rate（ESR） were measured in 57 patients with painless thyroiditis.The above results were compared with Graves disease group（n=87） and Hashimoto＇s disease group（n=56）.Results：FT3 and FT4 level in three groups with thyroid disease were all significantly increased,whereas,TSH level was significantly decreased,than those in the control group;FT3 and FT4 level in painless thyroiditis group were lower than those in Graves disease group,and showed no significant difference when compared with Hashimoto＇s disease group.TGAb and TPOAb levels in painless thyroiditis group were significantly higher than control group,but significantly lower than the Graves disease group and the Hashimoto＇s disease group.Nonvisulization of thyroid scintigraphy was observed in painless thyroiditis group.Absorption ratio of technetium and iodine was very low,and when compared with Graves disease group and Hashimoto＇s disease group,significant difference was observed.Thyroid could be well visualized by thyroid scintigraphy in Graves disease and Hashimoto＇s disease group.ESR showed no difference among three disease groups.Conclusion：Thyroid iodine uptake ratio and thyroid scintigraphy may reflect the function and damage scale of the thyroid.It may be an effective method to diagnose painless thyroiditis.
出处
《陕西医学杂志》
CAS
2011年第11期1495-1497,共3页
Shaanxi Medical Journal
