^(99)Tc^m_4O^-SPECT显像在亚急性甲状腺炎中的诊断价值

Value of ^(99)Tc^m_4O^-SPECT imaging in the diagnosis of subacute thyroiditis

目的探讨99Tcm4O-SPECT显像在亚急性甲状腺炎中的诊断价值。方法回顾性分析我院2011年5月~2013年5月收治的25例亚急性甲状腺炎患者的临床资料。结果观察组和对照组患者的T/N值分别为(2.18±0.56)和(6.34±0.88),观察组患者的T/N值明显比对照组低,两者差异具有统计学意义(P<0.05);观察组患者的FT3、TMAb比对照组低,FT4、TSH、TGAb比对照组高,但是相比差异不具有统计学意义(P>0.05)。结论亚急性甲状腺炎具有不断变化的病理过程,核素现象在其发病过程中有其特异性,对其诊断具有不可替代的作用。

Objective To investigate the value of ^99Tc^m4O^-SPECT imaging in the diagnosis of subaeute thyroiditis. Methods The clinical data of 25 cases of subacute thyroiditis patients who had been treated in our hospital from May 2011 to May 2013 were retrospectively analyzed. Results The T / N ratio of observation group and control group patients were （2.18 ±0.56） and （6.34 ± 0.88）, the T / N ratio of patients in the observation group was significantly lower than that of the control group, the difference was statistically significant（P 〈 0.05）; the level of FT3, TMAb of patients in the observation group were lower, and FT4, TSH, TGAb higher than that of patients in the control group, but the differences were not statistically significant（P〉 0.05）. Conclusion Subacute thyroiditis has changing pathological process, radionuclide phenomenon has its specially pathogenesis specificity and plays an irreplaceable role in its diagnosis.