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核医学方法诊断甲状腺疾病的价值
引用本文:邱桂林,邹颂海.核医学方法诊断甲状腺疾病的价值[J].核技术,1993,16(5):275-278.
作者姓名:邱桂林  邹颂海
作者单位:上海铁路局中心医院,上海铁路局中心医院,上海铁路局中心医院,上海铁道医学院附属甘泉医院 上海 200072,上海 200072,上海 200072,上海 200061
摘    要:报道了279例初诊甲状腺疾病应用核医学方法测定血清甲状腺激素诊断。结果表明:173例甲亢血清中TSH(IRMA)全部低于正常,范围<0.1—0.25mU/l;FT_4与FT_3的临床符合率分别为95.9%与87.9%;32例原发性甲减TSH测定值为29.7±11.5mU/l,全部升高,FT_4值为2.6—8.3pmol/l,全部降低;41例慢性淋巴性甲状腺炎TGAb和TMAb的阳性率为73.2%;18例亚急性甲状腺炎TSH值有13例下降,FT_3和FT_4值升高分别为8例和11例,而甲状腺吸~(131)I率全部处于极低下状态;12例毒性腺瘤血清测TSH值有8例(66.7%)降低;FT_4和FT_3值升高分别为9例和7例;甲状腺显像为“热结节”。

关 键 词:免疫放射测定  甲状腺疾病  原子医学

Evaluation of radionuclide procedures for the diagnosis of thyroid disorders
Qiu Guilin Shi Jianguo Yuan Shidong.Evaluation of radionuclide procedures for the diagnosis of thyroid disorders[J].Nuclear Techniques,1993,16(5):275-278.
Authors:Qiu Guilin Shi Jianguo Yuan Shidong
Abstract:The application of radionuclide procedures to 279 patients of thyroid disorder were evaluated. TSH IRMA test, total T3 and T4, free T3 and T4, TMAb and TGAb thyroid uptake percentage and also the thyroid imaging were used. All of the results demonstrated and concluded that the TSH IRMA, free T3 and free T4 tests were the most sensitive one and should be the first choice method used for the evaluation of thyroid function.
Keywords:IRMA TSH FT3 FT4 Hyperthyrodism Hypothyroism  
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