| 刘寒月,张宇虹,苏本利.超声评价2型糖尿病患者甲状腺异常改变[J].中国医学影像技术,2009,25(4):591~593 |
| 超声评价2型糖尿病患者甲状腺异常改变 |
| Ultrasonographic evaluation of abnormalities of thyroid gland in patients with type 2 diabetes |
| 投稿时间：2008-08-19 修订日期：2009-01-03 |
| DOI： |
| 中文关键词: 糖尿病 甲状腺 超声检查 |
| 英文关键词:Diabetes mellitus Thyroid gland Ultrasonography |
| 基金项目: |
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| 中文摘要: |
| 目的 应用超声技术评价2型糖尿病患者甲状腺的异常改变。方法 2型糖尿病患者93例,均符合WHO糖尿病诊断标准,按病程分为3组:糖尿病病程≤5年组(A组,31例);5年＜糖尿病病程≤10年组(B组,30例);糖尿病病程＞10年组(C组,32例);健康对照组(D组)30例。超声检查测量甲状腺大小并计算体积,观察甲状腺回声改变及有无结节存在,按照相应标准判定甲状腺肿大和结构异常。同时检测血液生化指标。结果 B组甲状腺肿大病例数较A组、C组、D组明显增多(P<0.05);A组、B组、C组甲状腺体积较D组明显增加,B组甲状腺体积较A组、C组明显增加(P均<0.05);C组甲状腺结构异常病例数较A、B、D组明显增多,B组甲状腺结构异常病例数较A、D组明显增多(P均<0.05);A、B、C组的血液生化检查异常病例数较D组明显增多(P<0.05)。结论 超声技术可以客观地评价2型糖尿病患者甲状腺的异常改变。 |
| 英文摘要: |
| Objective To observe the abnormalities of thyroid gland with ultrasonography in patients with type 2 diabetes (T2DM). Methods A total of 93 patients of T2DM were studied and divided into three groups: group A (31 cases, the course ≤5 years), group B (30 cases, 5 years＜the course≤10 years), group C (32 cases, the course >10 years), and 30 healthy subjects were enrolled as controls group (group D). The size of thyroid gland was measured with ultrasonography and the volume was calculated. The internal echo changes and whether there was nodules were observed. The enlargement and abnormal structure of thyroid gland were judged according to corresponding standards. Blood biochemicals were detected. Results The volume of thyroid gland of group A, B and C was significantly larger than that of group D (P<0.05). The volume of thyroid gland of group B was significantly larger than that of group C (P<0.05). The cases of thyroid gland enlargement of group B was remarkably more than that of group A, C and D (P<0.05). The number of abnormal structure of thyroid gland of group C was significantly more than that of group A, B and D (P<0.05), while of group B was significantly more than that of group A and D (P<0.05). The abnormal blood biochemistry detection of group A, B, C was significantly more than that of group D (P<0.05). Conclusion The abnormalities of thyroid gland in patients of T2DM can be evaluated with ultrasonography objectively. |
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