2 型糖尿病伴甲状腺超声异常的临床特点分析[J].pdfVIP

294 栽蚤葬灶躁蚤灶 酝藻凿 允熏 Apr 圆园10熏 灾燥造 38 晕燥 4 2 型糖尿病伴甲状 超声异常的临床特点分析 吟 孙文强 宝成 陈莉明 郑妙艳 单春艳 李鹤超 摘要 目的：探讨2 型糖尿病伴甲状 超声异 患者的特点，为临床诊疗提供指导。方法：426 例2 型糖尿病患 者行甲状 B 超检查，甲状 超声异 326 例，分析其甲状 超声结构特点，所有患者均取血用电化学发光法检测甲 状腺功能，高压液相法检测糖化血红蛋白及 规生化法检测血生化指标，并与甲状 超声异 者进行比较。结果：（1） 甲状 超声异 患者中， 瘤占38.3% ，明显高于其他超声异 患者。其他超声异 依次为弥漫 肿大27.0% ，混合型 异 21.8% ，囊 瘤 12.9%。（2 ）超声异 组和正 组间甲状腺功能的差异有统计学意义（P 0.05 ），超声异 者多伴 有甲状腺功能异常，表现为甲亢、亚临床甲亢、亚临床甲减。（3）超声异 与患者年龄有相关 （r = 0.210 ，P 0.05 ）,与 糖尿病病程无相关 （P 跃 0.05 ）。结论：2 型糖尿病伴甲状 超声异 中， 瘤最 见，超声异 者易合并甲状腺功能 异常。 关键词 糖尿病, 2 型 甲状 疾病 超声检查 血糖 血红蛋白A, 糖基化 胆固醇 甘油三酯类 The Clinical Characteristics of Ultrasonic Diagnosis of Thyroid Abnormality in Patients with Type 2 Diabetes SUN Wenqiang, CHANG Baocheng, CHEN Liming, ZHENG Miaoyan, SHAN Chunyan, LI Hechao Me tabolic Disease Hospital, Tianj in Medical Unive rs ity, Tianj in 300070, China Abstract Obj ective ：To investigate the clinical features of ultrasonic diagnosis of thyroid abnormality in patients with type 2 diabetes and provide evidence for clinical practice thereof. Four hundreds and twenty-six patients with type 2 Methods ： diabetes underwent B-type ultrasonic examination of the thyroid gland 袁in which 326 cases were diagnosed as thyroid abnor鄄 mality. Structure features of thyroid glands were analyzed. For all of the patients, the thyroid function was measured by electro鄄 chemiluminescence; hemoglobin A1C was measured by high pressure liquid chromatography; blood biochemical indicator was measured by rule chemistry methods 袁and the results were compared with those of thyroid abnormality group. Results ：渊