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无痛性甲状腺炎的核医学诊断

DIAGNOSIS OF PAINLESS THYROIDITIS WITH NUCLEAR MEDICINE

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【作者】 陈仁度贠子英郝金国牛相爱郭素萍韩秀琴纪慧智张薇

【Author】 Chen Rendu Yun Ziying He Jingou Niu Xiangai Guo Suping Han Xiuqing Ji Huizhi Zhang Wei (Nuclear Medicine Department of First Affiliated Hospital, Shanxi Medical College, Taiyuan 030001)

【机构】 山西医学院一附院山西医学院一附院 太原 030001太原 030001太原 030001

【摘要】 文章用核医学方法检查甲状腺机制亢进症40例、亚急性甲状腺炎12例及无痛性甲状腺炎21例。甲亢组FT3/FT4值大于0.24(pmol/pmol),而全部亚甲炎和无痛性甲炎的FT3/FT4值均小0.24。认为此比值像甲状腺吸131I率一样,在甲亢与无痛性甲炎的鉴别诊断方面是有价值的。

【Abstract】 Thyroid function was tested in patients with hyperthyroidism (40 cases), subacute thyroiditis (12) and painless thyroiditis (21). The serum free triiodothyronine/free thyroxine ratio value (FT3/FT4)was>0.24 pmol/pmol in hyperthyroidism but<0.24 in 11/12 patients with subacute thyroiditis and 20/21 patients with painless thyroiditis. Therefore, like RAIU of thyroid, the serum FT3/FT4 ratio value is useful for differentiating painless thyroiditis from the hyperthyroidism of Graves’ disease.

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