甲状腺血管杂音对甲状腺功能亢进诊断的价值(附500例临床分析)

DIAGNOSTIC VALUE OF THYROIDDRIUIT FOR HYPERTHYROIDISM

甲状腺血管杂音是一项体征,对甲亢的诊断有一定的临床价值。本文就我院1988年确诊甲亢的500例病例进行分析,以探讨甲状腺血管杂音对甲亢诊断的价值和血管杂音产生的机制。甲亢的诊断以甲状腺摄取131

Five handred cases of hyperthyrcidiEm identified by ^(131)I uptake and TT_3, TT_4 assay carried out to determine the diagnostic value of the bruit and thrill on thyroid in hyperthyroidism. The results showed that the combination of the rise of ^(131)I uptake and bruit on thyroid region as diagnostic index had high sensitivity (84.2%) and specificity (100%) for the diagnosis and T_3 suppression test could be omitted if both of them were positive. The incidence of the bruit is correlated to heart rate and size of the thyroid (P<0.001) but not to the rise of ^(131)I uptake (P>0.05).