超声TI-RADS与血清TSH在甲状腺乳头状癌合并桥本氏甲状腺炎诊断中的应用

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英文篇名：Ultrasound TI-RADS and Serum TSH in Diagnosis Papillary Thyroid Carcinoma Combined with Hashimoto's Thyroiditis 作者：杜会民 ; 王晓涛 ; 陈俊卯 ; 陈建立 ; 王长友 ; 张国志 英文作者：DU Hui-min;WANG Xiao-tao;CHEN Jun-mao;CHEN Jian-li;WANG Chang-you;ZHANG Guo-zhi;Department of general surgery, North China University of Technology affiliated hospital; 关键词：甲状腺乳头状癌 ; 桥本氏甲状腺炎 ; 血清TSH ; 超声TI-RADS 英文关键词：Papillary thyroid carcinoma;;Hashimoto's thyroiditis;;Serum TSH;;Ultrasound TI-RADS 中文刊名：WMIA 英文刊名：World Latest Medicine Information 机构：华北理工大学附属医院普通外科; 出版日期：2019-05-07 出版单位：世界最新医学信息文摘 年：2019 期：v.19 语种：中文; 页：WMIA201937127 页数：2 CN：37 ISSN：11-9234/R 分类号：232-233

摘要

目的分析术前超声TI-RADS与血清TSH,探讨其在甲状腺乳头状癌合并桥本氏甲状腺炎诊断中是否有所帮助。方法随机抽取华北理工大学附属医院5年间手术的甲状腺乳头状癌合并桥本氏甲状腺炎患者40例作为HT组,单纯性甲状腺乳头状癌患者40例作为非HT组。分析两组术前癌结节的TI-RADS和血清TSH。结果两组超声TI-RADS(3,4a,4b,4c,5)类进行对比,无统计学意义(P>0.05);超声TI-RADS分级中的低回声或极低回声、实性结节、微钙化、不规则边界、纵横比>1这5项特征分别进行对比,其中微钙化数量在HT组中高于非HT组,有统计学意义,其余4项无统计学意义;血清TSH水平在HT组中高于非HT组,P<0.05。结论超声TI-RADS中微钙化及高血清TSH水平,有助于甲状腺乳头状癌合并桥本氏甲状腺炎的术前诊断。
        Objective To evaluate preoperative ultrasound TI-RADS and serum TSH in diagnosis papillary thyroid carcinoma combined with Hashimoto's thyroiditis.Methods A total of 80 surgical patients were randomly extracted from North China University of Technology affiliated hospital in the last five years, 40 patients with papillary thyroid carcinoma combined with Hashimoto's thyroiditis,as HT group, and other 40 patients with papillary thyroid carcinoma, as no-HT group. Preoperative ultrasound TI-RADS and serum TSH were analyzed. Results There were no statistically significant difference between groups in ultrasound TI-RADS(3,4 a,4 b,4 c,5)(P>0.05).According to the comparisons between groups in 5 ultrasound features, hypoechoic or hypoechoic, solid nodules, microcalcifications,irregular boundaries,and aspect ratio> 1, only the significant in microcalcifications was statistical. The level of serum TSH in HT group was much more than that in the other, just as the value of microcalcifications(P<0.05).Conclusion The level of microcalcifications and serum TSH may be help in diagnosis of papillary thyroid carcinoma combined with Hashimoto's thyroiditis.

引文

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