桥本甲状腺炎合并其他甲状腺疾病的年龄分布研究  

Study on the age distribution of Hashimoto's thyroiditis complicated with other thyroid diseases

作　　者：赵凯军[1] 葛冠男[2] 郑美娜[3] 费丹[1] 李梦灵 邢洁[1] 刘酒 

机构地区：[1]吉林大学中日联谊医院超声科,吉林长春130033 [2]中国医学科学院北京协和医院外科 [3]吉林大学中日联谊医院消化内科

出　　处：《中国地方病防治》2016年第11期1216-1218,共3页Chinese Journal of Control of Endemic Diseases

摘　　要：目的探讨桥本甲状腺炎（hashimoto thyroiditis,HT）合并其他甲状腺疾病情况与HT各型年龄分布之间的关系。方法 2014年12月-2016年1月期间,我院外科收治的150例经病理确诊合并甲状腺其他疾病的HT住院患者,采用二维彩色多普勒超声诊断仪（探头频率为10MHz,分辨率为1~2mm）对其进行检查,并收集其术后病理结果,对所有患者进行年龄分组,研究HT各型合并甲状腺其他疾病情况与年龄的关系。结果根据超声图像表现,将HT分为：腺体粗糙型、弥漫散在小结节型、弥漫中结节型、弥漫回声减低型、大片状回声减低型及散在大结节伴腺体回声减低型6型;腺体粗糙型、弥漫散在小结节型、弥漫中结节型、弥漫回声减低型以30-50岁组多见,大片状回声减低型及散在大结节伴腺体回声减低型以50岁以上组多见。总体上HT各型合并结节性甲状腺肿的比例最高,腺体粗糙型合并甲状腺癌的比例高于其他类型。结论各型HT的年龄分布与各型HT合并其他甲状腺疾病情况具有一定联系,可将此联系作为评价HT的临床指标,根据年龄分布初步判断可能的HT类型。Objective Study of Hashimoto＇s thyroiditis （ Hashimoto＇ s thyroidifis, HT） complicated with other thyroid diseases and HT between each type of the age distribution. Methods From December 2014 to January 2016, 150 cases were treated by sur- gery in our hospital diagnosed with thyroid disease in hospitalized HT patients, using two-dimensional color Doppler ultrasound diagnostic instrument （ probe frequency of 10MHz, the resolution is 1 - 2mm） to examine it, and collect the postoperative patho- logical results, all patients were age group study on the relationship between the various types of HT, combined with other thyroid diseases and age. Results According to the ultrasonographie features, HT is divided into： gland rough type, diffuse scattered small nodular, diffuse nodular type, diffuse hypoectloic type, patchy hypoeehoic type and scattered in a large hypoechoie nodule with glandular type 6 glands; rough type, diffuse scattered small nodular, diffuse nodular type diffuse hypoeehoie type, in the age group of 30-50 rare, patchy hypoeehoie type and scattered in a large hypoeehoic nodules with glandular type with over 50 years old group. See more general HT type with the highest proportion of nodular goiter with thyroid cancer, glandular rough type is higher than the proportion of other types. Conclusion The age distribution of each type of HT has a certain relationship with each type of HT combined with other thyroid diseases, which can be used as a clinical index to evaluate the HT according to the age distribution of the possible HT types.

关 键 词：桥本甲状腺炎 超声分型 年龄 甲状腺疾病 

分 类 号：R581.4[医药卫生—内分泌]