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目的:探讨亚急性甲状腺炎的诊断及治疗方法,旨在提高对本病的认识。减少误、漏诊。提高诊治水平。方法:对205例亚急性甲状腺炎的临床资料进行回顾性分析。结果:我院亚甲炎首诊确诊率83.41％,误、漏诊率16.59％。女性多于男性,发热占59.02％,伴甲状腺结节占71.70％,触痛占95.12％,血沉增快占87.31％,分离现象为91.97％,72.22％(13／18)病例甲状腺细针穿刺活检后经病理证实。90.21％病例采用强的松治疗,约1—2月停用激素,效果好,其中6.4％病例出现激素反跳现象,但二次获愈。结论:正确诊断亚甲炎的关键在于详细询问病史,全面体格检查,综合分析临床表现及辅诊资料在亚甲炎诊断中具有重要价值,以尽早作出正确诊断,提高确诊率,减少误、漏诊,避免不适当的治疗。
Objective: To investigate the diagnosis and treatment of subacute thyroiditis in order to improve the understanding of this disease. Reduce mistakes, missed diagnosis. Improve the level of diagnosis and treatment. Methods: The clinical data of 205 cases of subacute thyroiditis were analyzed retrospectively. Results: The first diagnosis of methylene blueitis in our hospital was 83.41%, with a misdiagnosis rate of 16.59%. Thyroid nodules accounted for 71.70%, tenderness accounted for 95.12%, erythrocyte sedimentation rate increased 87.31%, the separation was 91.97%, 72.22% (13/18) cases of thyroid fine needle aspiration biopsy After confirmed by pathology. 90.21% of patients treated with prednisone, about 1-2 months to disable the hormone, the effect is good, of which 6.4% cases of hormone rebound phenomenon, but the second recovery. Conclusion: The key to correct diagnosis of methylene blue inflammation is to ask history, comprehensive physical examination, comprehensive analysis of clinical manifestations and supplementary information is of great value in the diagnosis of methylene blue, to make the correct diagnosis as soon as possible to improve the diagnosis rate, reduce errors, missed diagnosis , To avoid inappropriate treatment.