目的:为提高亚甲炎的诊断率。方法:对140例亚甲炎病人的临床和核医学资料进行分析。结果:甲肿、甲状腺自觉疼或(和)压痛、全身乏力、发热或(和)发热史、放射疼和前驱症状的出现率,在典型亚甲炎分列居前6位。~(131)I摄取率测定值<5％的病例占89.8％,TT3、TT4上升和碘摄取率明显下降的“分离现象”占79.7％,甲状腺体征与显像结果不一致者占29.6％。治疗1个月复查,γ照像48％恢复正常,复查碘摄取率8％恢复正常。4个月时复查,两者无大差别。结论:充分、合理、综合地使用核技术,对亚甲炎的早期诊断、鉴别诊断、疗效监测均有重要意义。 Objective: To improve the diagnostic rate of methylene blue inflammation. Methods: Clinical and nuclear medicine data of 140 cases of patients with acute arthritis were analyzed. Results: The incidence of gonorrhea, spontaneous pain or (and) tenderness, generalized weakness, fever or (and) fever, radicular pain, and prodromal symptoms in the thyroid gland were among the top 6 in the list of typical cases of methylene blue. The rate of 131 I uptake rate was less than 5%, accounting for 89.8%, 79.7% of them were significantly higher than those of TT3, TT4 and iodine uptake rate, and 29.6% were not consistent with the signs and imaging results of thyroid. Treatment 1 month review, 48% of γ-ray returned to normal, review of iodine uptake rate of 8% returned to normal. 4 months when the review, no big difference between the two. Conclusion: The full, rational and comprehensive use of nuclear techniques is of great significance for the early diagnosis, differential diagnosis and curative effect monitoring of methylene blue.