204例甲状腺穿刺活检与甲状腺激素的相关性分析  

Thyroid biopsies of 204 cases and clinical correlation analysis of physical and chemical indicators

作　　者：张超[1,2] 马玲[1] 

机构地区：[1]哈尔滨医科大学公共卫生学院,黑龙江哈尔滨150081 [2]佳木斯大学附属第一医院,黑龙江佳木斯154003

出　　处：《黑龙江医药科学》2013年第5期22-23,共2页Heilongjiang Medicine and Pharmacy

摘　　要：目的:初步探讨甲状腺结节细针穿刺活检与临床检查理化指标之间的相关性。方法:回顾性分析204例甲状腺结节病人的甲状腺穿刺活检的临床资料,应用多因素回归分析方法,建立Logistic回归模型。结果:在204例中,桥本氏甲状腺炎39例(19.1%),亚急性甲状腺炎31例(15.19%)。采用2个变量,即促甲状腺素(TSH)、年龄进入回归分析,Logistic模型对甲状腺结节中的桥本氏甲状腺炎、亚急性甲状腺炎预报的正确率分别为84.3%、84.8%。结论:甲状腺结节患者的细针穿刺细胞学检查与TSH和年龄具有关联性,对临床甲状腺结节疾病的正确诊断提供了新方法。Objective： Preliminary study of the correlation between thyroid nodule fine needle aspiration biopsy and clinical examination of physical and chemical indicators. Methods： We retrospectively analyzed the data of patients of 204 cases with thyroid nodules thyroid biopsy clinical data, applied multivariate regression analysis, and established Logistic regression model. Results.Among 204 patients, 39 cases are of the Hashimoto＇s thyroid itis （19. 1% ）, and 31 cases of sub acute thyroiditis （15.19%）. Using two variables, namely thyroid stimulating hormone （TSH）, Age into the regression analysis, the forecasting accuracy rates of Logistic model on thyroid nodules in Hashimoto＇s thyroiditis and sub acute thyroiditis were 84. 3 % and 84.8%. Conclusion： There exists relevance between thyroid nodule fine needle aspiration cytology in patients and TSH ＆ age, providing a new method for clinical diagnosis of thyroid nodules disease correctly.

关 键 词：甲状腺穿刺 甲状腺素 LOGISTIC模型 

分 类 号：R446[医药卫生—诊断学] R582[医药卫生—临床医学]