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甲状腺疾病的核医学检查

Examination of Thyroid Diseases in Nuclear Medicine

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【作者】 吴彩兰张久亮张伟杜鹃

【Author】 WU Cai-lan,ZHANG Jiu-liang,ZHANG Wei,DU Juan.(Department of Nuclear Medicine,Fourth Central Hospital of Tianjin,Tianjin 300140,China)

【机构】 天津市第四中心医院核医学科天津市第四中心医院核医学科 天津300140天津300140

【摘要】 甲状腺疾病的核医学检查包括甲状腺相关激素测定、甲状腺显像及甲状腺吸131I率测定,其中血清TT3、TT4、FT3、FT4、sTSH的测定,主要用于判断甲状腺功能状态;TSAb主要作为判断甲状腺功能亢进药物治疗停药后是否复发的指标之一,亦用于预测妊娠甲状腺功能亢进妇女胎儿及新生儿甲状腺功能状态;Tg是甲状腺分化癌治疗后随访的一个很好的监测指标。甲状腺平面显像为检测甲状腺大小、形态的异常提供帮助,并利于发现异位甲状腺、了解结节的功能和甲状腺癌的定位;断层、动态、亲肿瘤显像有助于甲状腺癌的诊断。

【Abstract】 Inspections of thyroid diseases in nuclear medicine consist of thyroxine series determination,thyroid scan and thyroid iodic absorptivity determination,among which the detection of serum TT3,TT4,FT3,FT4,sTSH can be used to judge thyroid function,TsAb is one of index indicating hyperthyrea relapsing or not afer stopping medicine of patients with medication,and can predict the fetal or newborn thyroid function in mother with hyperthyrea.Tg is a good monitoring index in the follow-up of patients with differentiated thyroid carcinoma after therapy.Thyroid planar imaging can provide reference in detecting abnormal size and shape of thyroid,and is helpful to find ectopic thyroid gland,to recognize the function of the node and the location of thyroid cancer.Tomo imaging,dynamic imaging and oncotropic imaging is helpful to the diagnosis of thyroid carcinoma.

  • 【文献出处】 医学综述 ,Medical Recapitulate , 编辑部邮箱 ,2008年01期
  • 【分类号】R581
  • 【被引频次】12
  • 【下载频次】417
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