[1]张建萍,孟召伟,谭建,等.甲状腺静态显像诊断双异位甲状腺的6年回顾性研究[J].国际内分泌代谢杂志,2015,(03):166-169.[doi:10.3760/cma.j.issn.1673-4157.2015.03.006]
Zhang Jianping*,Meng Zhaowei,Tan Jian,et al.Scintigraphic detection of dual ectopic thyroid: a six-year retrospective study[J].International Journal of Endocrinology and Metabolism,2015,(03):166-169.[doi:10.3760/cma.j.issn.1673-4157.2015.03.006]
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甲状腺静态显像诊断双异位甲状腺的6年回顾性研究(
)
《国际内分泌代谢杂志》[ISSN:1673-4157/CN:12-1383/R]
- 卷:
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- 期数:
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2015年03
- 页码:
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166-169
- 栏目:
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短篇论著
- 出版日期:
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2015-05-20
文章信息/Info
- Title:
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Scintigraphic detection of dual ectopic thyroid: a six-year retrospective study
- 作者:
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张建萍; 孟召伟; 谭建; 方佩华; 郑荣秀; 刘戈力; 朱梅; 何庆
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300052 天津医科大学总医院核医学科（张建萍，孟召伟，谭建，方佩华），儿科（郑荣秀，刘戈力），内分泌科（朱梅，何庆）
- Author(s):
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Zhang Jianping*; Meng Zhaowei; Tan Jian; Fang Peihua; Zheng Rongxiu; Liu Geli; Zhu Mei; He Qing.
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*Department of Nuclear Medcine，The General Hospital，Tianjin Medical University，Tianjin 300052，China
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- 关键词:
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双异位甲状腺; 甲状腺异位; 甲状腺静态显像; 甲状腺功能减退症; 亚临床甲状腺功能减退症
- Keywords:
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Dual ectopic thyroid; Thyroid ectopia; Thyroid scintigraphy; Hypothyroidism; Subclinical hypothyroidism
- DOI:
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10.3760/cma.j.issn.1673-4157.2015.03.006
- 摘要:
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目的 回顾性分析拟诊存在异位甲状腺的患者中，双异位甲状腺的发生率，并对比甲状腺不同异位情况患者临床指标的差异。方法 回顾2008年6月至2014年6月因拟诊存在异位甲状腺而就诊患者的临床资料。甲状腺静态显像在静脉注射99TcmO4-后30 min进行，根据显像结果判断异位甲状腺的位置和数目。所有患者均测定血清甲状腺激素水平并行颈部超声检查。其中，共有122例患者被筛检出，根据甲状腺静态显像结果分为3组，单异位甲状腺组、双异位甲状腺组、无甲状腺组。结果 在122例异位甲状腺患者中，3组所占比例分别为单异位甲状腺组（83/122，68.03%）、双异位甲状腺组（7/122，5.74%）、无甲状腺组（32/122，26.23%）。随着异位甲状腺个数的增加，患者的年龄、游离T3、游离T4水平呈显著上升趋势（F =110.42，69.70，64.51，P 均＜0.01），而促甲状腺激素水平呈显著下降趋势，其中以双异位甲状腺组为著，与其他两组间差异均有统计学意义（F =21.71，P ＜0.01）。双异位甲状腺组有女性4例、男性3例，其中6例异位部位均为舌下区和舌骨下区，1例为舌根部和舌骨下区。4例甲状腺功能减退症、2例甲状腺功能正常、1例亚临床甲状腺功能减退症。结论 在本研究中，双异位甲状腺在拟诊存在异位甲状腺患者中的发生率为5.74%。大多数患者甲状腺功能正常或轻度减退，异位部位常在舌根部、舌下区和舌骨下区。
- Abstract:
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Objective To determine the incidence of dual ectopic thyroid（ET） in patients with suspected ET，and compare the clinical parameters between patients with different types of ET. Methods Clinical data of patients with clinical suspected ET，from June 2008 to June 2014 were evaluated. Thyroid scintigraphy was performed 30 minutes after the injection of 99mTc-pertechnetate. Then the number and location of ET were judged by the imaging results. Serum thyroid hormones and neck ultrasonography were also measured. One hundred and twenty-two patients were found. According to thyroid scintigraphic findings，patients were divided into 3 groups：single ET group，dual ET group and athyroid group. Results In one hundred and twenty-two cases of ET patients，three groups made a proportion of 83/122（68.03%，single ET group），7/122（5.74%，dual ET group） and 32/122（26.23%，athyroid group），respectively. With the growing number of ET，the age，free T3，free T4 level of patients were significantly increased（F =110.42，69.70，64.51，all P ＜0.01），while the changes of thyroid stimulating hormone were in the opposite trend，especially the group of dual ET. There had significant difference between dual ET group and the other two groups（F =21.71，P ＜0.01）. We identified 4 female and 3 male in dual ET group，six of whom displayed ET in the sublingual and subhyoid regions，yet one of whom displayed ET in lingual and subhyoid regions. Four patients were hypothyroid，2 were euthyroid and 1 was subclinical hypothyroid. Conclusions Dual ET occurs in 5.74 % of all clinical suspected cases in this study. Most of these patients are euthyroid or with mildly hypothyroid. Thyroid ectopia often locates in lingual， sublingual and subhyoid areas.
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更新日期/Last Update:
2015-05-20