Fexa J, Nĕmec J, Novák Z
Výzkumný ústav endokrinologický, Praha.
Cas Lek Cesk. 1990 Apr 13;129(15):449-51.
For the assessment of the volume of the thyroid gland palpation, sonography or scintigraphy can be used. Palpation serves only as orientation, it underrates large goitres and a false positive diagnosis of goitre cannot be ruled out. Sonography uses a static echotomographic method or a dynamic empirical method. Echotomography is at present the most reliable method of assessment of the thyroid volume in vivo. The value of conventional scintigraphy for assessment of the thyroid volume is only historical, more accurate three-dimensional radionuclide diagnostic methods are so far not currently available in this country.
为评估甲状腺体积,可采用触诊、超声检查或闪烁扫描法。触诊仅起定位作用,它会低估大的甲状腺肿,且不能排除甲状腺肿的假阳性诊断。超声检查采用静态超声断层扫描法或动态经验法。超声断层扫描是目前评估体内甲状腺体积最可靠的方法。传统闪烁扫描法评估甲状腺体积的价值仅具有历史意义,该国目前尚无更精确的三维放射性核素诊断方法。