CAJ | 학술논문

目的探讨摄碘率与甲状腺显像在无痛性甲状腺炎(PT)诊断中的应用价值.方法对2008年1月至2010年6月在我院就诊的70例PT、50例Graves病(GD)患者和50例健康体检者的摄碘率、甲状腺显像和血清学检查进行回顾性对比分析.结果 PT组3 h摄碘率、24 h摄碘率明显低于健康对照组,GD组3 h摄碘率、24 h摄碘率明显高于健康对照组,PT组和GD组比较差异有极显著性意义(F=64.88,P＜0.01);70例PT患者甲状腺轮廓显示不清晰,部分患者未见甲状腺显影,而50例GD患者甲状腺全部显像,甲状腺轮廓清晰可见.结论摄碘率与甲状腺显像可以准确反映甲状腺病变的受累及范围、程度和功能状态,在PT诊断中起决定性作用,是目前鉴别PT与GD不可替代的简便而又有效的方法.
목적 탐토섭전솔여갑상선현상재무통성갑상선염(PT)진단중적응용개치.방법 대2008년1월지2010년6월재아원취진적70례PT、50례Graves병(GD)환자화50례건강체검자적섭전솔、갑상선현상화혈청학검사진행회고성대비분석.결과 PT조3 h섭전솔、24 h섭전솔명현저우건강대조조,GD조3 h섭전솔、24 h섭전솔명현고우건강대조조,PT조화GD조비교차이유겁현저성의의(F=64.88,P＜0.01);70례PT환자갑상선륜곽현시불청석,부분환자미견갑상선현영,이50례GD환자갑상선전부현상,갑상선륜곽청석가견.결론 섭전솔여갑상선현상가이준학반영갑상선병변적수루급범위、정도화공능상태,재PT진단중기결정성작용,시목전감별PT여GD불가체대적간편이우유효적방법.
Objective To evaluate clinical value of radioactive iodine uptake and thyroid imaging in diagnosis of painless thyroiditis(PT). Methods Seventy cases of PT patients, 50 cases of GD patients and 50 cases of healthy persons were retrospectively analyzed by using radioactive iodine uptake, thyroid imaging and serological examination. Results PT group radioactive iodine uptake rate was significantly lower than the control group, GD group was significantly higher than the control group, PT group and the GD group difference was significant (F=64.88, P＜0.01). Thyroid image of PT group is not clear, or no to be seen, thyroid image of GD group can be clearly visible. Conclusion Radioactive iodine uptake and thyroid imaging play an irreplaceable role in the identification of PT and GD, and the method is simple and effective too.