血清TSH浓度与结节性甲状腺肿癌变临床与研究.pdfVIP

血清TSH浓度与结节性甲状腺肿癌变的临床研究 贵阳医学院附属医院甲状腺外科 (550∞4)叶晖王南鹏高庆军周彦段禽松高荣 君赵代伟 Hormone，促甲状腺激素)浓度与 摘要目的探讨血清TSH(Thyroid—Stimulating 结节性甲状腺肿癌变的关系。方法 回顾性分析我院2003年至2006年428例初诊结节性 甲状腺肿患者临床资料和血清TSH浓度，以及手术切除标本病理切片情况，其中43例为结 节性甲状腺肿局部癌变患者。结果结节性甲状腺肿局部癌变患者血清TSH浓度高于无癌变 血清TSH浓度升高而增加。结论血清TSH浓度的升高增加结节性甲状腺肿癌变的风险，手 术前血清TSH浓度的评估有助提高对结节性甲状腺肿癌变的早期诊断。 关键词 甲状腺肿；结节性；促甲状腺激素；癌变 of betweenthecancerationof nodular CIinicalresearchrelationship thyroid andserumTSHconcentration goiter of ye eta1．DepartmentThyroid Hui。Zhaonaiwei。WangNanpeng Surgery,7he Affi7iate ta]of Medical 550004 Hospi 6uiyang College,Guiyang,Guizhou of Abstract To theassociationbetweencanceration investigate thyroid Objective and TSHconcentration．MethodsWehave studied nodular serum retrospectively goiter nodular theclinicalmaterialsof cases)withthyroid goiterincluding patients(428 cancerationand theirserumTSHconcentrationand cases)with analyzed patients(43 resultsof examination．ResultsThemeanserumTSH postoperativepathological iS thanthat concentrationof withcanceration ofpatientswithno patients higher with cancerationratesin thyroidnodular canceration(pO．05)．The patients goiter associatedwiththeserumTSHconcentrationsof are