Zollikofer C L, Frank T, Wewerka J
Nuklearmedizin. 1978 Mar;17(1):16-23.
35 patients with scintigraphically silent thyroid regions without palpable cold nodules were further evaluated by ultrasonography. In 33 cases the sonographic diagnosis was confirmed by other examinations or the clinical course. 2 cases were misinterpreted right at the beginning of our series. The use of ultrasonography in evaluating silent thyroid regions in the totally decompensated autonomous adenoma, in unilateral thyroid aplasia, thyroiditis and hyperthyroidism is shown to be a reliable and valuable supplement to the clinical and radioisotopic evaluation procedures. When differentiating the totally decompensated autonomous adenoma from unilateral thyroid aplasia a stimulation test need not be performed in most cases. Suspected thyroiditis can be confirmed in a simple way. Being a non-invasive evaluation procedure, ultrasonography should be used before performing a needle biopsy.
对35例甲状腺闪烁扫描显示无结节且触诊无冷结节的患者进行了超声检查进一步评估。33例患者的超声诊断经其他检查或临床病程得以证实。在我们的系列研究开始时，有2例被误诊。结果表明，在评估完全失代偿自主性腺瘤、单侧甲状腺发育不全、甲状腺炎和甲状腺功能亢进症时，超声检查是对临床和放射性同位素评估程序的可靠且有价值的补充。在大多数情况下，鉴别完全失代偿自主性腺瘤和单侧甲状腺发育不全时无需进行刺激试验。疑似甲状腺炎可以通过简单的方法得到证实。作为一种非侵入性评估程序，在进行针吸活检之前应先使用超声检查。
