亚急性甲状腺炎患者行超声检查和核素显像的诊断价值比较

Comparison study on the application value between ultrasonography and radionuclide imaging in diagnosis of subacute thyroiditis

目的探究亚急性甲状腺炎(ST)患者行超声检查和核素显像诊断的价值。方法84例ST患者按随机数表法将其分为对照组及研究组,每组42例。对照组的患者采用超声检查,而对研究组患者采用核素显像检查,对比2组患者的检出率,观察并记录2组患者的情况。结果对照组患者ST的检出率低于研究组(P<0.05);对照组患者和研究组患者的血清学T3、T4、FT3、FT4、TSH水平比较差异无统计学意义(P>0.05);2组ST严重、轻度检出率比较,差异有统计学意义(P<0.05)。研究组的敏感度、阳性预测值均高于对照组(P<0.05)。结论核素显像对于ST的检出率高于超声检查,值得在临床诊断中进一步推广和应用。

Objective To investigate the application value between ultrasonography and radionuclide imaging in diagnosis of subacute thyroiditis(ST).Methods A total of 84 patients with subacute thyroiditis who were treated in our hospital from January 2018 to November 2018 were randomly divided into control group and research group according to random number table method,with 42 cases in each group.The patients in control group were examined by ultrasound,however,the patients in research group were examined by radionuclide imaging.The detection rates were observed and compared between the two groups.Results The detection rate of subacute thyroiditis in control group was significantly lower than that in research group(P<0.05).There were no significant differences in the serum levels of T3,T4,FT3,FT4 and TSH between the two groups(P>0.05).There were significant differences in the detection rates of severe ST and mild ST between the two groups(P<0.05).Conclusion The detection rate of radionuclide imaging for subacute thyroiditis is higher than that of ultrasonography,which is worthy of further promotion and application in clinical diagnosis.