CAJ | 학술논문

目的　评价超声、核素影像学在亚急性甲状腺炎诊断中的作用。方法　回顾性分析了经病理或临床明确诊断为亚甲炎47例患者的超声、核素影像表现及特点。结果　47例中，Ⅰ、Ⅱ型37例，超声特征33例为片状低回声，5例为回声不均质性增强，并点片状低回声灶，正确诊断率为91.9%（34/37）。核素扫描为甲状腺不显影或显影不清，正确诊断率为81.1%(30/37)。两种结果有较好一致性（χ2=22.97,P<0.001）。Ⅲ型7例，超声甲状腺呈结节样不规则增大，正确诊断率为71%（5/7）。核素显影甲状腺本底高伴凉结节或显影分布不均。结论　超声显像及核素扫描各有其特异性，在Ⅰ、Ⅱ型中，两种检查结果有较好的一致性。在Ⅲ型中，超声需与肿瘤鉴别，核素无特异性。
목적　평개초성、핵소영상학재아급성갑상선염진단중적작용。방법　 회고성분석료경병리혹림상명학진단위아갑염47례환자적초성、핵소영상표현급특점。결과　47례중，Ⅰ、Ⅱ형37례，초성특정33례위편상저회성，5례위회성불균질성증강，병점편상저회성조，정학진단솔위91.9%（34/37）。핵소소묘위갑상선불현영혹현영불청，정학진단솔위81.1%(30/37)。량충결과유교호일치성（χ2=22.97,P<0.001）。Ⅲ형7례，초성갑상선정결절양불규칙증대，정학진단솔위71%（5/7）。핵소현영갑상선본저고반량결절혹현영분포불균。결론　초성현상급핵소소묘각유기특이성，재Ⅰ、Ⅱ형중，량충검사결과유교호적일치성。재Ⅲ형중，초성수여종류감별，핵소무특이성。
Objective 　To evaluation the diagnostic value of ultrasonography and scintigraphy in the subacute thyroiditis. Methods　47 patients with subacute thyroiditis diagnosed pathology or clinic retrospectively were analyzed their ultrosonographic and scintigraphic manifest and characteristics. According to thyroid clinical characteristic, the cases were classified. Results 　In 47cases, Ⅰ and Ⅱ have 37, of 33 are hypoechogenicity in ultrosonogrphic characteristics.5 is asymmetric hyperecho with small focal hypoecho. The right diagnose rate is 91.9%(34/37). Thyroid gland is not develop or underdeveloped by scintgraphy. The accurate diagnose rate is 81.1%(30/37). These two results have preferably coherence (χ2=22.97,P<0.001). Ⅲ have 7cases.Thyroid gland ultrosonography show irregularly and nodal enlargement. Right diagnose rate is 71%(5/7). Thyroid gland scintgraphy appears cold nodal with setting thickly or irregular throughout. Conclusions 　Both of ultrasonography and scintigraphy have specificity. In Ⅰ and Ⅱ,two examined results have preferably coherence. In Ⅲ, ultrasonography need to differentiate with tumor, and scintigraphy is not specific.