Wimpfheimer C
Medizinische Klinik, Kantonsspital, Luzern.
Schweiz Rundsch Med Prax. 1994 Jan 18;83(3):53-6.
Functional disorders of the thyroid and thyroidal tumors are a common challenge in daily practice. TSH of the 2nd and the 3rd generation stand in first place of the biochemical parameters in use. The FT4-test serves as confirming investigation. Additional investigations are reserved for special indications. Fine-needle aspiration performed by an experienced endocrinologist has the highest value to determine the benign character of a tumor of the thyroid. Anatomy can be optimally visualized by the modern ultrasound techniques. The most important indication for scintigraphy today is a scheduled therapy with radioactive iodine.
甲状腺功能紊乱和甲状腺肿瘤是日常临床实践中常见的难题。第二代和第三代促甲状腺激素（TSH）在现行生化指标中位居首位。游离甲状腺素（FT4）检测用作确诊检查。特殊指征时才进行其他检查。由经验丰富的内分泌科医生进行细针穿刺抽吸对确定甲状腺肿瘤的良性特征具有最高价值。现代超声技术能最佳地显示甲状腺的解剖结构。如今，闪烁扫描的最重要指征是计划进行放射性碘治疗。
