首诊于耳鼻咽喉科的亚急性甲状腺炎30例报告

Subacute thyroiditis as seen initially in otorhinolaryngology department: A report of 30 cases

目的 :探讨首诊于耳鼻咽喉科的亚急性甲状腺炎患者的咽部症状以及甲状腺单光子发射型计算机断层 ( SPECT)和甲状腺细针细胞学检查 ( FN B)对亚急性甲状腺炎的诊断价值。方法 :记录 3 0例亚急性甲状腺炎患者的咽部症状 ,测定血清 T3、T4 水平 ,对患者进行甲状腺 SPECT显像 ,结合甲状腺 FNB。结果 :2 1例存在程度不同的咽痛 ,9例存在咽异感症。经 SPECT直接确诊 6例 ,SPECT结合 FNB确诊 2 2例 ,另 2例经试用泼尼松最后确诊。结论 :咽痛和咽异感症是亚急性甲状腺炎的重要症状 ,甲状腺 SPECT和 FNB对亚急性甲状腺炎的诊断具有重要价值。

Objective:To assess the pharyngeal presentations and the diagnostic value of thyroid SPECT and thyroid fine needle biopsy (FNB) in subacute thyroiditis (SAT) as seen initially in otorhinolaryngology department.Method:Thirty patients with SAT were mainly recorded about pharyngeal symptoms and performed about serum T 3?T 4 level and thyroid SPECT imaging or combining thyroid FNB. Result:Of 30 patients, 21 had variant sore throat, 9 had abnormal sensation of throat. 6 were diagnosed as having SAT by only SPECT, the remaining 24 by that combined with FNB, 2 of whom were finally considered as having SAT by oral Prednisone therapy. Conclusion:Sore throat and abnormal sensation of throat are the important presentations of SAT, thyroid SPECT imaging and thyroid FNB are valuable on diagnosing SAT.