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目的探讨桥本甲状腺炎(hashimoto thyroiditis,HT)合并其他甲状腺疾病情况与HT各型年龄分布之间的关系。方法 2014年12月-2016年1月期间,我院外科收治的150例经病理确诊合并甲状腺其他疾病的HT住院患者,采用二维彩色多普勒超声诊断仪(探头频率为10MHz,分辨率为1~2mm)对其进行检查,并收集其术后病理结果,对所有患者进行年龄分组,研究HT各型合并甲状腺其他疾病情况与年龄的关系。结果根据超声图像表现,将HT分为:腺体粗糙型、弥漫散在小结节型、弥漫中结节型、弥漫回声减低型、大片状回声减低型及散在大结节伴腺体回声减低型6型;腺体粗糙型、弥漫散在小结节型、弥漫中结节型、弥漫回声减低型以30-50岁组多见,大片状回声减低型及散在大结节伴腺体回声减低型以50岁以上组多见。总体上HT各型合并结节性甲状腺肿的比例最高,腺体粗糙型合并甲状腺癌的比例高于其他类型。结论各型HT的年龄分布与各型HT合并其他甲状腺疾病情况具有一定联系,可将此联系作为评价HT的临床指标,根据年龄分布初步判断可能的HT类型。
Objective To investigate the relationship between Hashimoto thyroiditis (HT) and other thyroid diseases and the distribution of HT types. Methods From December 2014 to January 2016, 150 hospitalized patients with pathologically diagnosed thyroid diseases were enrolled in our hospital. The patients were treated with two-dimensional color Doppler sonography (probe frequency was 10MHz, resolution was 1 ~ 2mm) were examined, and its postoperative pathological results were collected, all patients were grouped by age to study the HT various types of thyroid associated with other diseases and the relationship between age. Results According to the ultrasound images, HT was divided into: glandular rough type, diffuse scattered nodules, diffuse nodules, diffuse echogenic reduction, large echogenic reduction and scattered nodules with gland echo reduction Type 6; rough glandular, diffuse scattered nodules, diffuse nodules, diffuse echogenic reduction in the 30-50-year-old group more common, large patchy echogenic and scattered in the large nodules with gland echo Reduced to more than 50-year-old group more common. Overall, the highest proportion of each type of nodular goiter with HT, the proportion of rough gland type with thyroid cancer is higher than the other types. Conclusions The age distribution of each type of HT is related to the status of HT in combination with other thyroid diseases. This association can be used as a clinical index to evaluate HT, and the possible HT type can be preliminarily determined according to the age distribution.