甲状腺单发结节摄锝比与血清TSH测定的临床相关分析  

Correlativity Between the ^(99)Tc^mO_4^- Uptake Ratio of Thyroid Nodules and Serum TSH Value

作　　者：郭佳[1] 郝珊瑚[1] 王治国[1] 曹祯[1] 张国旭[1] 

机构地区：[1]沈阳军区总医院核医学科,辽宁沈阳110016

出　　处：《标记免疫分析与临床》2017年第5期523-525,共3页Labeled Immunoassays and Clinical Medicine

摘　　要：目的探讨甲状腺单发结节摄锝比与血清TSH检测结果之间的相关性,及二者对结节良恶性判断的诊断价值。方法以术后或穿刺病理结果为标准,回顾性分析2016年2月至2016年10月在我院行甲状腺^(99)Tc^m-SPECT/CT检查及血清TSH测定的76例甲状腺单发结节。结果甲状腺恶性结节摄锝比明显低于良性结节(P<0.05),血清TSH水平明显高于良性结节(P<0.05),摄锝比与血清TSH具有负相关性。结论 ^(99)Tc^m-SPECT/CT甲状腺显像结合血清TSH水平,可能有助于对甲状腺单发结节的良恶性判断。Objective To investigate the correlation between the uptake ratio of 99TcmO4 of thyroid nodules and the serum TSH values, and the diagnostic value of both of them in benign and malignant nodules. Methods A retrospective analysis containing total of 76 cases of thyroid nodules was performed. All patients who were in our hospital from February 2016 to October 2016 were examined with 99Tcm-SPECT/CT and serum TSH test. The results were analyzed retrospectively for comparative analysis. Results Compared with serum TSH, the uptake ratio of 99TcmO4- of thyroid nodules was negatively correlated, the uptake ratio of 99TcmO4 was lower and the level of serum TSH was significantly nigher in cold or cool nodules than that in benign nodules （ P 〈 0. 05 ）. Conclusion 99Tcm-SPECT/CT thyroid imaging can be used to evaluate the functional status of thyroid nodules, and its combination of serum TSH level is of great significance in judging the benign and malignant thyroid nodules.

关 键 词：单光子发射计算机断层扫描 促甲状腺激素 摄锝比 甲状腺结节 冷结节 

分 类 号：R581[医药卫生—内分泌] R736.1[医药卫生—内科学]