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Diagnosis And Treatment For Sporadic Type of Painless Thyroiditis in Hyperthyroidism
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- Author:
- No author available
- Journal Title:
- JOURNAL OF CHINESE PHYSICIAN
- Issue:
- 6
- DOI:
- 10.3760/cma.j.issn.1008-1372.2002.06.006
- Key Word:
- 甲状腺功能亢进;甲状腺炎;诊断;治疗
Abstract： 目的探讨散发型无痛性甲状腺炎(SPT)在甲亢中的发病率、临床表现、实验室检查特征及不同治疗方法对其预后的影响.方法从临床表现为甲亢的276例患者中,诊断出43例SPT,随机分为治疗组22例,对照组21例,进行临床研究.结果 SPT的发病率为15.58%,其相关的实验室检查不同于Graves病、毒性甲状腺腺瘤(Plummer病)及桥本病(Hashimoto病);治疗组:甲状腺毒症期(37.23±4.28)d,正常甲状腺血症期(16.43±3.42)d;低甲状腺毒症期(18.65±6.31)d,复发率4.54%(1/22)无永久性甲低发生;对照组:甲状腺毒症期(68.35±8.23)d,正常甲状腺血症期(31.45±7.23)d;低甲状腺毒症期(102.42±21.34)d,复发率14.28%(3/21),永久性甲低发生率9.52%(2/21).结论甲亢中,SPT仅次于Graves病而较Plummer病及Hashimoto病多发,实验室检查对鉴别诊断意义大,相关治疗可较快控制甲亢症状、降低复发率及减少永久性甲低发生.
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