甲状腺

objective to analyze the ct appearance of thyroid carcinoma and the differential diagnosis of various thyroid disease.methods 83 cases of thyroid carcinoma and 119 cases of various benign disease with surgical and pathologically proved were analyzed retrospectively.results the ct findings of 83 cases of thyroid carcinoma include:ill defined nodules boundary (n=62),irregular necrosis(n=59),cystic(n=23),"peninsula" enhancing tubercles around the tumour(n=25),"mastoid" tubercles around the tumour(n=11),calcification(n=55) including large scale(n=27) and local(n=28),trachea invasion(n=15),neck or supraclavicular lymph node metastasis(n=27),the accurate of ct to differentia benignancy from malignancy on thyroid disease was 93.6%(189/202).conclusions "peninsula" enhancing tubercles was the characteristic sing of thyroid carcinoma,"mastoid" enhancing tubercles or large scale calcification was the affirmative sign,the ct signs was vary useful to differentiating thyroid disease.

摘 要］目的：分析甲状腺癌的ct表现及鉴别诊断要点。方法：回顾性分析经手术病理证实的83例甲状腺癌和119例甲状腺良性病变的ct表现，归纳总结不同病变的ct特征。结果：83例甲状腺癌中：边界不清62例，不规则坏死59例，囊性变23例，出现"半岛状"强化结节25例，"乳头状"强化结节11例，钙化55例(其中弥漫性钙化27例、局灶钙化28例)，侵犯气管15例，颈部或锁骨上淋巴结肿大27例，ct对甲状腺病变的良恶性鉴别诊断符合率93.6%(189/202)。结论："半岛状"强化结节是甲状腺癌的特征性表现，"乳头状"强化结节及弥漫性钙化可做为甲状腺癌的肯定性征象，掌握各种甲状腺病变的ct表现特点，对病变的定性诊断及鉴别诊断具有重要意义。

Methods: We enrolled thirty women with PPT: 17 were hypothyroid, 7 with hyperthyroidism and 6 with a transient hyperthyroidism followed by hypothyroidism.

我们记录了30例产后甲状腺炎患者：甲状腺功能低下患者17例、甲状腺功能亢进症患者7例和甲状腺功能低下后暂时性的甲状腺功能亢进患者6例。

Results Based on different sonographic appearances in various thyroid diseases and the outcomes obtained from surgery and pathological examination, 39 (19.9%) cases were diagnosed as thyroid adenoma including cystis degeneration, 41 (20.9%) as hyperthyreosis, 22 (11.2%) as thyreoitis, 61 (31.2%) as nodular goite...

结果根据不同的甲状腺疾病彩色多普勒有不同的表现，并追踪手术病理检查等结果，确诊为甲状腺腺瘤39例(19.9%)，甲状腺功能亢进41例(20.9%)，甲状腺炎22例(11.2%)，结节性甲状腺肿61例(31.2%)，甲状腺癌33例(16.8%)。

Shaanxi Provincial Peoples Hospital, Xian 710068, ChinaABSTRACT: Objective To analyze the relationship of serum levels of TSH, thyroid peroxidase antibody and thyroglobulin antibody with cytopathologic changes of thyroid fine needle aspiration in autoimmune thyroiditis.

目的 分析自身免疫性甲状腺炎患者血清促甲状腺激素、甲状腺过氧化物酶抗体以及甲状腺球蛋白抗体与甲状腺细针抽吸细胞病理学改变之间的关系。

Selection criteria: Hypothyroidism with the increased thyroid microsomal antibodies, thyroid peroxides antibody, or thyroglobalin antibody which detected in city, and provincial hospital in gestation or before pregnancy were diagnosis as Hashimotos thyroiditis. Hyperthyroidism supported with the thyroid ultrasonography or ECT scans or confirmed by fine-needle-aspirate biopsy of the thyroid, excluded the hyperfunctioning thyroid adenoma and multinodular goiter, were diagnosis as Graves disease.

纳入标准：对妊娠前或妊娠期间曾在省、市级医院检查有甲状腺功能减退且伴有抗微粒体抗体或抗甲状腺过氧化物酶抗体、抗甲状腺球蛋白抗体增高者为慢性淋巴细胞性甲状腺炎孕母；有甲状腺功能亢进且甲状腺B超或甲状腺ECT扫描或甲状腺细针穿刺病理检查证实、并排除高功能腺瘤及多发性结节者为GraveS病孕母。

Total resection combined with modified clearance of neck lymph nodes was carried out in 20 cases and subtotal thyroidectomy, the other 39 cases had subtotal or near-total thyroidectomy combined with levo thyroxine intake postoperatively .

对20例甲状腺癌行甲状腺全切加改良颈部淋巴结清扫术，另39例均甲状腺次全切除或近全甲状腺切除加术后左甲状腺素抑制治疗。

Methods: the expression of s100a4 protein was detected in 130 cases of thyroid tissue by immunohistochemistry. there were 55 cases of papillary thyroid carcinoma and 30 cases of matched samples of adjacent normal thyroid tissue, 15 cases of follicular thyroid carcinoma, 10 case of medullar thyroid carcinoma, 50 cases of benign thyroid neoplasm(25 cases of simple benign multimodal goiters and 25 cases of follicular adenoma), 5 cases of normal thyroid tissue.

用免疫组化检测130份甲状腺石蜡标本的s100a4蛋白表达情况，其中甲状腺癌80份(乳头状癌55例、滤泡癌15例、髓样癌10例)；甲状腺良性肿瘤50份(结节性甲状腺肿、甲状腺滤泡型腺瘤各25例)；癌旁甲状腺组织30例；正常甲状腺组织5例。

Result: The size and vessel caliber of thyroidea of the two groups pre-treatment were obviously bigger than those of the control group, the volume of blood flow and blood flow rate were obviously slower than those of the control group ( P .001), the sizes of thyroidea of the two groups became smaller, especially the group B1 was more obvious, and there was no significant difference in the size of thyroidea between group B1and control group.

结果：治疗前甲状腺大小、甲状腺上动脉管径、血流速度及血流量均明显大于正常组( P 。001)，治疗后，经典治疗组和联用夏枯草口服液治疗组甲状腺均有不同程度缩小，甲状腺上动脉管径变小、血流速度及血流量逐渐下降，但甲状腺大小以联用夏枯草口服液治疗组为明显，此组与正常对照组相比已无明显差异，甲状腺甲状腺上动脉、血流速度及血流量两组之间比较无明显差异。

Results:One hundred and twenty one cases (2.5%) with disease of cervical artery were found among them. Eightynine cases with intima-media thickening and 32 casas with plaque formation were diagnosed. Its coincidence was up to 100%. Detection rate of thyroid disease lesion was up to 9.2% in 428 cases of 4655 cases health screening. More nodoles goiter were found and next to thyroid cyst,thyroid adenomas,hyperthyroidism,thyrditis and thyroid cancer.

结果： 4 655例中，经超声筛查颈部血管病变121例，检出率为2.5%，其中单纯颈、椎动脉内膜-中层厚度增厚89例，合并粥样硬化斑块32例，诊断符合率为100%；筛查甲状腺疾病428例，检出率为9.2%，发病以结节性甲状腺肿居多，其次为甲状腺囊肿、甲状腺腺瘤、甲状腺功能亢进、甲状腺炎、甲状腺癌等，诊断符合率为82%。

Subjects who had taking iodine-containing preparations or thyroid hormone were also excluded.2.2 MethodsSerum levels of triiodothyronine ( T3 ), thyroxine ( T4 ), free triiodothyronine ( FT3 ), free thyroxine ( FT4 ) and thyrotropin were determined by immunochemiluminometric assay for ninety-fifth patients with atrial fibrillation and one hundred and thirty nine controls matched for age and sex.2.3 StatisticsAll statistical procedures were performed with SPSS 10.0 software package.

同时根据甲状腺功能指标的测定把心房颤动患者分为①正常组：TSH、FT3和 FT4水平均正常②甲状腺功能亢进组：TSH水平降低，FT3和 FT4水平升高③亚临床甲状腺功能亢进组：TSH水平降低，FT3和 FT4正常。2.2方法入选者于清晨空腹静脉取血 2 ml，采用免疫化学发光法分别测定血清中的三碘甲状腺原氨酸（T3）、甲状腺激素（T4）、游离三碘甲状腺原氨酸（FT3）。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。