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[Reinke水肿中的甲状腺刺激试验。28例患者的研究]

[Thyroid gland stimulation test in Reinke's edema. A study of 28 patients].

作者信息

Benfari G, Carluccio F, Murgiano S, Lentini A

机构信息

I Clinica ORL, Universita di Roma La Sapienza.

出版信息

An Otorrinolaringol Ibero Am. 1992;19(5):485-91.

PMID:1443467
Abstract

In order to clarify the correlation between Reinke's oedema and thyreopathies, we performed a study on 28 patients affected by polypoid degeneration of the vocal cords. Every patient had a complete check-up concerning the otorhino-laryngological either endocrinological aspects, in particular blood laboratory tests including the routine ones and RIA for T3, T4, FT3, FT4, hGT, antibodies and TSH under stimulation of the TRH. 22 patients showed to be affected by subclinical hypothyroidism; 5 patients did not show a substantial increase of the TSH to the TRH stimulation; one patient was affected by hypothyroidism. Our experience clearly shows that subclinical hypothyroidism is the organic pathology more frequently correlated with Reinke's oedema.

摘要

为了阐明声带息肉样变性与甲状腺疾病之间的相关性,我们对28例声带息肉样变性患者进行了一项研究。每位患者都针对耳鼻喉科和内分泌方面进行了全面检查,特别是血液实验室检查,包括常规检查以及促甲状腺激素释放激素(TRH)刺激下的T3、T4、游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、人促甲状腺素(hGT)、抗体和促甲状腺激素(TSH)的放射免疫分析。22例患者表现为亚临床甲状腺功能减退;5例患者在TRH刺激下促甲状腺激素未出现明显升高;1例患者患有甲状腺功能减退。我们的经验清楚地表明,亚临床甲状腺功能减退是与声带息肉样变性最常相关的器质性病变。

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