论文部分内容阅读
目的 探讨甲状腺显像和甲状腺 5项测定在亚急性甲状腺炎 (简称亚甲炎 )中的临床意义。方法 对 3 0例亚甲炎患者及 2 2例对照者采用放免法测定了血清 FT3(游离三碘甲状腺原氨酸 )、FT4(游离四碘甲状腺原氨酸 )、TSH(促甲状腺激素 )、TGA(甲状腺球蛋白抗体 )、TMA(甲状腺微粒抗体 ) ;同时对患者进行了甲状腺显像、甲状腺摄 13 1I率及ESR(血沉 )检查。结果 亚甲炎患者 FT3、FT4含量均明显高于对照组 ( P<0 .0 0 1) ;TSH含量低于对照组 ( P<0 .0 0 1) ;TGA、TMA均为阴性 ,与对照组比较差异无显著性 ( P>0 .0 5)。甲状腺显影范围和清晰度与 ESR,FT3,FT4,TSH,甲状腺摄 13 1I率、甲状腺功能受损的程度和病情发展是一致的。结论 甲状腺显像与甲状腺 5项测定对亚甲炎的诊断、鉴别诊断及疗效观察有重要的临床价值
Objective To investigate the clinical significance of thyroid imaging and thyroid 5 determination in subacute thyroiditis. Methods Serum levels of FT3 (free triiodothyronine), FT4 (free triiodothyronine), TSH (thyrotropin), thyroid stimulating hormone TGA (thyroglobulin antibody) and TMA (thyroid antibody). Thyroid imaging, thyroid 131I rate and ESR (ESR) were also performed. Results The levels of FT3 and FT4 in patients with methylene blue were significantly higher than those in the control group (P <0.01). The levels of TSH were lower than those in the control group (P <0. 001) There was no significant difference between the two groups (P> 0.05). Thyroid development range and clarity and ESR, FT3, FT4, TSH, thyroid 13 13I rate, extent of thyroid function damage and disease progression are consistent. Conclusions Thyroid imaging and thyroid 5 measurement have important clinical value in the diagnosis, differential diagnosis and curative effect observation of