~(99m)TcO_4甲状腺平面显像在甲亢鉴别诊断中的作用

• 作 者: 陈平 李朋秋 吕月婵 林敏 张学军
• 机 构: 四川省人民医院!四川成都610072,四川省人民医院!四川成都610072,四川省人民医院!四川成都610072,四川省人民医院!四川成都610072,四川省人民医院!四川成都610072
• 出 处: 四川省卫生管理干部学院学报
• 发表日期: 2000年03期
• 关键词: 甲状腺平面显像 TcO_4 鉴别诊断 甲亢 桥本氏病 Grave 核素 亚急性甲状腺炎 双侧甲状腺 亚甲炎

目的 :评价99mTcO4 甲状腺平面显像在甲亢鉴别诊断中的作用。方法 :对 16 8例甲亢患者其中弥漫性毒性甲状腺肿 (Grave’s病组 ) 94例 ,慢性淋巴性甲状腺炎 5 0例 (桥本氏甲亢组 ) ,亚急性甲状腺炎组 2 4例 ,进行99mTcO4 甲状腺平面显像。结果 :Grave’s病组甲状腺摄取99mTcO4 量多且均匀 ;桥本氏病组 ,摄取欠佳核素分布不均 ,而亚甲炎组大多双侧甲状腺摄取差 ,显像不清。结论 :99mTcO4 甲状腺平面显像有助于甲亢的诊断和鉴别诊断。

Objective: To evaluate the role of 99mTcO4 thyroid imaging in the differential diagnosis of hyperthyroidism. Methods: Ninety-six patients with hyperthyroidism were enrolled in this study. Among them, 94 were Grave’s disease, 50 were chronic lymphocytic thyroiditis (Hashimoto’s hyperthyroidism group), 24 were subacute thyroiditis group, 99mTcO4 thyroid Flat image. Results: The amount of 99mTcO4 in thyroid uptake in Grave’s disease group was more and more uniform. In Hashimoto’s disease group, the uptake of unsaturation was not uniform, but most of the bilateral thyroid gland uptake in the hypothyroidism group was poor. Conclusion: 99mTcO4 thyroid imaging is helpful for the diagnosis and differential diagnosis of hyperthyroidism.