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收集经甲状腺细针抽吸活检证实的亚甲炎 (SAT)和桥本甲状腺炎 (HT)各 30例。记录两型甲状腺炎的咽症状学类型和持续时间 ,采用 SPECT检查患者的甲状腺病变状态。结果显示 :主诉咽痛者 SAT组为 70 % (2 1/ 30 ) ,HT组为 16 .7% (5 / 30 )。主诉咽异感症者 SAT组 30 % (9/ 30 ) ,HT组为 83.3% (2 5 / 30 ) ,两组甲状腺炎的咽症状学的差别有统计学意义 (P<0 .0 5 )。甲状腺核素显像显示 :SAT患者甲状腺放射性分布显著减少 ,甲状腺显影暗淡 ,而 HT患者甲状腺显像形态多样。 SAT组聚 99m Tc功能受损程度比 HT组重 (P<0 .0 5 ) ,在咽症状学和甲状腺显像方面 ,SAT与HT有着明显区别 ,据此可对两病进行鉴别诊断
Thirty (30) cases of thyrotoxicosis (SAT) and Hashimoto’s thyroiditis (HT) confirmed by thyroid needle aspiration biopsy were collected. The type and duration of pharyngeal symptomatology of both types of thyroiditis were recorded and the thyroid lesions were examined by SPECT. The results showed that the chief complaint of pharyngodynia were 70% (21/30) in SAT group and 16.7% (5/30) in HT group. The chief complaint of pharyngitis was 30% (9/30) in the SAT group and 83.3% (25/30) in the HT group. There was a statistically significant difference in pharyngology between the two groups (P <0.05). Thyroid radionuclide imaging showed that there was a significant reduction in the thyroid radioactivity distribution in the thyroid gland, a dim appearance of the thyroid gland, and a variety of thyroid imaging modalities in HT patients. The SAT 99m Tc function was more impaired than that of the HT group (P <0.05). There was a significant difference between SAT and HT in pharyngology and thyroid imaging