老年男性2型糖尿病患者甲状腺结节的超声特征  

Sonographic features of thyroid nodules in elderly men with type 2 diabetes

作　　者：仉立辉 宫建[2] 李宁 纪忠杰 杨朋[5] 朴哲[6] 杨传家[7] 刘臻[7] 

机构地区：[1]北京市中西医结合医院超声室,北京100039 [2]沈阳药科大学生命科学与生物制药学院临床药学教研室,辽宁沈阳110016 [3]北京普仁医院普外科,北京100001 [4]丹东市中医院CT科,辽宁丹东118000 [5]沈阳市第四人民医院干诊科,辽宁沈阳110031 [6]北京市石景山医院麻醉科,北京100043 [7]中国医科大学附属盛京医院胰腺甲状腺外科,辽宁沈阳110004

出　　处：《东南大学学报（医学版）》2015年第3期373-375,共3页Journal of Southeast University(Medical Science Edition)

基　　金：国家自然科学基金资助项目(81072182)

摘　　要：目的:探讨老年男性2型糖尿病合并甲状腺结节患者的超声特征。方法:选择老年男性2型糖尿病住院患者和体检健康老年男性各200例,采用彩色多普勒超声诊断仪探查甲状腺结节的影像学特征。结果:老年男性2型糖尿病患者甲状腺结节检出率明显高于健康老年男性(P<0.01),老年男性2型糖尿病患者出现甲状腺结节形态、边界、内部回声、微钙化等特征变化的比例明显高于健康老年男性(均P<0.01)。结论:老年男性2型糖尿病患者甲状腺结节形态和内部结构改变的超声诊断特征明显,早期检查可及早发现病变,提高患者的生存质量。Objective： To evaluate the sonographic features of thyroid nodules in elderly male patients with type 2diabetes. Methods： Two hundred elderly male patients with type 2 diabetes and 200 healthy male were selected.The sonographic features of thyroid nodules were detected by color Doppler ultrasound. Results： The prevalence of thyroid nodules in elderly male patients with type 2 diabetes was significantly higher than that in healthy older men（P〈0. 01）. The change rate of sonographic characteristics in elderly male patients with type 2 diabetes was significantly greater than that in healthy older men（ all P〈0. 01）,such as the shape,border,internal echo and microcalcifications. Conclusion： Ultrasound diagnostic features of shape and internal structure change of thyroid nodules in elderly men with type 2 diabetes are remarkable. It is important to investigate the ultrasonic characteristics earlier for early detection of thyroid nodules and improvement of the quality of life.

关 键 词：糖尿病 甲状腺结节 彩色多普勒超声 老年男性 

分 类 号：R736.1[医药卫生—肿瘤]