372例亚急性甲状腺炎辅助检查结果分析

Analyze the result of adjunct examination in 372 cases of subacute thyroiditis

目的 探讨辅助检查在诊断亚急性甲状腺炎中的作用。方法 回顾分析 372例亚急性甲状腺炎病人所做的各项辅助检查结果。结果 血沉、B超、彩色多普勒、甲状腺核素扫描、甲状腺吸131I率测定、细针穿刺细胞学、TMA、TGA等项检查诊断本病的阳性率分别为 93 75 %、81 6 3 %、95 6 2 %、89 6 6 %、6 9 70 %、89 41%、13 46 %和 9 6 2 %。T3、T4 、TSH检查结果随着病程的进展变化较大。结论 血沉检查对诊断本病缺乏特异性 ;彩色多普勒、细针穿刺细胞学检查诊断率高 ,特异性强 ,是首选的检查手段 ;甲状腺核素扫描可以准确地反映甲状腺功能状态 ;检测血清中T3、T4 、TSH水平可以协助诊断本病 ,判断疾病所处时期。

Objective To discuss the function of versatile adjunct examination in the diagnosis of subacute thyroiditis. Methods Retrospectively analysed the adjunct examinations results of all 372 cases of subacute thyroiditis. Results The positive rate of ESR, ultrasonic examination,color doppler sonography, thyroid radionuclide imaging, radioiodine uptake rate, fine needle aspiration cytology, TMA, TGA in the diagnosis of subacute thyroiditis were 93.75%, 81.63%, 95.62%, 89.66%, 69.70 %, 89.41 %, 13.46% and 9.62%, respectively. The concentration of T 3, T 4 and TSH varied greatly with the progress of the disease.Conclusion The examination of ESR lacks specificity in the diagnosis, while the color doppler sonography and fine needle aspiration cytology do well in diagnosis, which has great specificity,is the first recommended examination. The thyroid radionuclide imaging can exactly demonstrate the function of thyroid. The levels of serum T 3, T 4 and TSH play a assistant role in diagnosis of the disease,by which the period of the disease is determined.