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目的 :探讨对以咽喉症状为主诉的桥本甲状腺炎的诊疗手段。方法 :介绍 4 5例临床资料 ,咽异物感17例、咽刺痛感 5例、咽压迫感 10例、咽干燥感 7例、咽痛 6例 ,其中 4例还伴声嘶。 37例甲状腺聚99mTc功能异常 ,8例正常 ;33例血清T3 、T4水平异常 ,12例正常 ;35例检测血清TSH水平 ,2 6例异常 ,9例正常 ;TMAb和TGAb阳性率分别为 6 6 % (2 1/ 32 )和 5 6 % (18/ 32 ) ;甲状腺针吸活检证实 30例桥本甲状腺炎 ,7例桥本甲亢。所有患者均口服甲状腺片或丙硫氧嘧啶。结果 :在随访 32例中 ,2 7例半年内咽喉症状消失 ,5例好转。结论 :咽异感症、声嘶、咽痛是桥本甲状腺炎不可忽视的症状 ,药物疗法可改善或消除咽喉症状
Objective: To explore the diagnosis and treatment of Hashimoto’s thyroiditis which chiefly complains of throat symptoms. Methods: The clinical data of 45 cases were introduced. There were 17 cases of pharyngeal foreign body sensation, 5 cases of pharyngeal stinging sensation, 10 cases of pharyngeal compression, 7 cases of pharynx dryness and 6 cases of sore throat. 4 cases were accompanied with hoarseness. 37 cases of thyroid poly 99mTc dysfunction, 8 cases were normal; 33 cases of serum T3, T4 levels were abnormal, 12 cases were normal; 35 cases of serum TSH levels, 26 cases were abnormal, 9 cases were normal; TMAb and TGAb positive rates were 6 6 % (21/32) and 56% (18/32). Thyroid needle biopsy confirmed 30 cases of Hashimoto’s thyroiditis and 7 cases of Hashimoto’s thyroidism. Thyroid tablets or propylthiouracil were orally administered to all patients. Results: In the 32 cases of follow-up, 27 cases of throat symptoms disappeared within half a year and 5 cases improved. Conclusion: Symptoms of pharynx, hoarseness and sore throat are the symptoms that can not be ignored in Hashimoto’s thyroiditis. Drug therapy can improve or eliminate the throat symptoms