糖尿病对超声定位下甲状腺结节患者颈动脉鞘内迷走神经位置变异的影响  

Effect of Diabetes on the Position Variation of Vagus Nerve in Patients with Thyroid Nodules under Ultrasound Guidance

作　　者：范爱娟 牟海萍[1] 张允耀 FAN Aijuan;MOU Haiping;ZHANG Yunyao(Ultrasound Department of Huaiyin People's Hospital,Jinan,Shandong,250021,China)

机构地区：[1]槐荫人民医院超声科,山东济南250021

出　　处：《糖尿病天地》2024年第6期65-66,共2页Diabetes World

基　　金：2022济南市卫生健康委员会大数据科技计划项目(2022-YBD-19)。

摘　　要：目的:探讨2型糖尿病(T2DM)对超声定位下甲状腺结节患者颈动脉鞘内迷走神经(VN)位置变异的影响.方法:纳入2022年10月至2024年1月在我院就诊的甲状腺结节患者368例作为研究对象,采用超声检测颈动脉鞘内VN变异情况,观察VN变异发生率和T2DM对VN变异的影响.结果:T2DM患者左侧VN变异率低于非T2DM患者(P<0.05);T2DM和非T2DM患者右侧VN变异率相比较差异无统计学意义(P>0.05).多因素Logistic回归分析显示剔除混杂变量影响后T2DM是左侧颈动脉鞘内VN变异的风险因素(P<0.05).结论:T2DM对右侧颈动脉鞘内VN变异无明显影响,T2DM增加左侧颈动脉鞘内VN变异率风险.Objective This study aims to investigate the effect of Type 2 Diabetes Mellitus(T2DM)on the position variation of the vagus nerve(VN)within the carotid sheath in patients with thyroid nodules under ultrasound guidance.Methods We included 368 patients with thyroid nodules who visited our hospital from October 2022 to January 2024 as research subjects.Ultrasound was used to detect VN variations within the carotid sheath,and the incidence of VN variations and the impact of T2DM on VN variations were observed.Results The left VN variation rate in T2DM patients was lower than that in non-T2DM patients(P<0.05).There was no significant difference in the right VN variation rates between T2DM and non-T2DM patients(P>0.05).Multivariate Logistic Regression analysis showed that after controlling for confounding variables,T2DM was a risk factor for left carotid sheath VN variation(P<0.05).Conclusion T2DM has no significant effect on the right carotid sheath VN variation,but it increases the risk of left carotid sheath VN variation.

关 键 词：2型糖尿病 超声 甲状腺结节 颈动脉鞘 迷走神经 

分 类 号：R445.1[医药卫生—影像医学与核医学]