桥本氏病诊断步骤的探讨

  • 摘要: 报道诊断HD的实验室三步诊断法,即首先以TgA、TmA作初筛;对前二者皆阴性或作鉴别时,行FNAB;对前两种方法结论不一致的高难病例,进行两者联检动态观察以求确诊。临床疑诊共87例HD中,经综合评价后,剔除7例其它甲状腺疾病。在σ0例HD中单用TgA、TmA使62例确诊;配合FNAB使77例确诊;另3例TgA、TmA皆阴性而未行FNAB者,2例手术病理和1例临床试治确定为HD。

     

    Abstract: STUDY ON DIAGNOSIS OF HD Chen Shuran; Zhang Guangli; Yang Yumei(Nuclear Medicine Department of Taiyuan Railway Central Hospital,030013)ABSTRACT This study suggests a three-step diagnostic method for diagnosing HD : the first step is to makeTgA , TmA examination; the second step is to make differential diagnosis for the cases of negativeTgA , TmA through FNAB examination; the third step is to makd TgA , TmA and FNAB examinationfor dynamic observation of controversial cases left over in the former two steps to achieve accurate di-agnosis. Differential diagnosis has been made with the method in 8 7 cases of HD(clinical diagnosis on-ly).The result shows that 7 cases have been diagnosed as thyropathy through comprehensive evalua-tion; definite diagnosis of HD has been made in 6 2 cases through TgA , TmA and in 7 7 cases throughFNAB; 3 cases of negative TgA and TmA failed to accept FNAB examination , and were later diag-nosed as HD through operation pathology or clinical treatment.Key words TgA TmA FNAB combined test HD diagnoseShanxi MedieaI College The First Affiliated Hospital, Taiyuan 030001

     

/

返回文章
返回