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本文研究的目的是评价超声图在儿童弥漫性甲状腺肿诊断中的意义。 作者观察了疑有弥漫性甲肿的40名儿童,女孩369,男孩4名,年龄4～15岁,平均为11.9岁。所有病人测定了T_4、TSH,甲状腺微粒体抗体(MsAb),甲状腺球蛋白抗体(TgAb),23例作了甲状腺组织活检,19例获得了诊断标本。所有儿童都作了超声波检查。 结果:根据临床表现和T_4、TSH测定,23名儿童有甲低。12名儿童虽然甲状腺肿大,但其激素水平T_4、TSH和临床表现均无异常,这些儿童有些后来发展成甲低。5名儿童临床上有甲亢,其中4名当作超声波期间服用抑制甲状腺的药物。Tg-Ab滴度高的(≥100)9名;低的26名。MsAb滴度高的(≥6400)16名,低的21名。24名儿童作了
The purpose of this study is to evaluate the significance of ultrasound in the diagnosis of diffuse goiter in children. The authors looked at 40 children suspected of having diffuse metrorrhagia, 369 girls and 4 boys, aged 4 to 15 years with an average of 11.9 years. T_4, TSH, MsAb and TgAb were detected in all the patients. Thyroid biopsy was performed in 23 cases and 19 cases were diagnosed. All children were ultrasonographed. Results: According to clinical manifestations and T_4, TSH determination, 23 children had hypothyroidism. Twelve children had goiter, but their hormone levels T 4, TSH and clinical manifestations were normal. Some of these children later developed into hypothyroidism. Five children clinically had hyperthyroidism, of which four were taken as drugs to suppress the thyroid during ultrasound. Nine high Tg-Ab titers (≥100) and 26 low titers. 16 with high MsAb titers (≥6400) and 21 with low titers. 24 children made