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新伊努伊人群中甲状腺锥体叶发生率及甲状腺峡部缺如的超声研究。

Ultrasonographic study of the incidence of pyramidal lobe and agenesis of the thyroid isthmus in Nnewi population.

作者信息

Akudu Lotanna Somtoo, Ukoha Ukoha Ukoha, Ekezie Jervas, Ukoha Chinwe Clarice

机构信息

Department of Anatomy, College of Health Sciences, Nnamdi Azikiwe University , Nnewi, Anambra State , Nigeria.

Department of Anatomy, School of Basic Medical Sciences Federal University of Technology , Owerri , Nigeria.

出版信息

J Ultrason. 2018;18(75):290-295. doi: 10.15557/JoU.2018.0042.

DOI:10.15557/JoU.2018.0042
PMID:30763012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6444315/
Abstract

Ultrasound is the most reliable imaging modality for thyroid evaluation due to the limitations in the clinical examination of this gland. Thyroid gland developmental anomalies are rare. Most of its variations are due to the persistence of the thyroglossal duct and the absence of the isthmus. The aim of this study was to determine the incidence of pyramidal lobe and agenesis of the thyroid isthmus in Nnewi population using ultrasound. A total of 321 subjects resident in Nnewi, including 167 males and 154 females, were randomized. A written consent was obtained from all patients. The subjects were aged between 18 and 35 years. This was a prospective cross-sectional study. Thyroid glands were scanned using a 2-dimensional ultrasound machine with a 7.5 MHz transducer; model Siemens Sonoline Prima which was made in Japan for Siemens Medical System Incorporated, ultrasound Group, Issaquah, WA, 98029-7002, USA. The study revealed no incidence of pyramidal lobe and agenesis of the thyroid isthmus in the study population. This study has clearly demonstrated no incidence of pyramidal lobe and agenesis of the thyroid isthmus in subjects resident in Nnewi, Nigeria. Ultrasound is the most reliable imaging modality for thyroid evaluation due to the limitations in the clinical examination of this gland. Thyroid gland developmental anomalies are rare. Most of its variations are due to the persistence of the thyroglossal duct and the absence of the isthmus. The aim of this study was to determine the incidence of pyramidal lobe and agenesis of the thyroid isthmus in Nnewi population using ultrasound. A total of 321 subjects resident in Nnewi, including 167 males and 154 females, were randomized. A written consent was obtained from all patients. The subjects were aged between 18 and 35 years. This was a prospective cross-sectional study. Thyroid glands were scanned using a 2-dimensional ultrasound machine with a 7.5 MHz transducer; model Siemens Sonoline Prima which was made in Japan for Siemens Medical System Incorporated, ultrasound Group, Issaquah, WA, 98029-7002, USA. The study revealed no incidence of pyramidal lobe and agenesis of the thyroid isthmus in the study population. This study has clearly demonstrated no incidence of pyramidal lobe and agenesis of the thyroid isthmus in subjects resident in Nnewi, Nigeria.

摘要

由于甲状腺临床检查存在局限性,超声是评估甲状腺最可靠的成像方式。甲状腺发育异常较为罕见。其大多数变异是由于甲状舌管持续存在和峡部缺如。本研究的目的是利用超声确定纽维人群中甲状腺锥体叶和峡部发育不全的发生率。共有321名居住在纽维的受试者被随机分组,其中包括167名男性和154名女性。所有患者均签署了书面知情同意书。受试者年龄在18至35岁之间。这是一项前瞻性横断面研究。使用配备7.5 MHz探头的二维超声仪对甲状腺进行扫描;型号为西门子Sonoline Prima,由日本为美国华盛顿州伊萨夸市98029 - 7002的西门子医疗系统公司超声集团制造。研究显示,研究人群中未出现甲状腺锥体叶和峡部发育不全的情况。本研究清楚地表明,在尼日利亚纽维居住的受试者中,未出现甲状腺锥体叶和峡部发育不全的情况。由于甲状腺临床检查存在局限性,超声是评估甲状腺最可靠的成像方式。甲状腺发育异常较为罕见。其大多数变异是由于甲状舌管持续存在和峡部缺如。本研究的目的是利用超声确定纽维人群中甲状腺锥体叶和峡部发育不全的发生率。共有321名居住在纽维的受试者被随机分组,其中包括167名男性和154名女性。所有患者均签署了书面知情同意书。受试者年龄在18至35岁之间。这是一项前瞻性横断面研究。使用配备7.5 MHz探头的二维超声仪对甲状腺进行扫描;型号为西门子Sonoline Prima,由日本为美国华盛顿州伊萨夸市98029 - 7002的西门子医疗系统公司超声集团制造。研究显示,研究人群中未出现甲状腺锥体叶和峡部发育不全的情况。本研究清楚地表明,在尼日利亚纽维居住的受试者中,未出现甲状腺锥体叶和峡部发育不全的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2162/6444315/9e8a42899190/jou-18-290-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2162/6444315/415cf1ddaed3/jou-18-290-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2162/6444315/9e8a42899190/jou-18-290-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2162/6444315/415cf1ddaed3/jou-18-290-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2162/6444315/9e8a42899190/jou-18-290-g002.jpg

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本文引用的文献

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The incidence and morphological features of pyramidal lobe on thyroid ultrasound.甲状腺超声检查中锥体叶的发生率及形态学特征。
Ultrasound. 2014 Nov;22(4):192-8. doi: 10.1177/1742271X14554677. Epub 2014 Oct 7.
2
Pyramidal Lobe of the Thyroid Gland: Surgical Anatomy in Patients Undergoing Total Thyroidectomy.甲状腺的锥体叶:甲状腺全切除术患者的手术解剖学
Anat Res Int. 2015;2015:384148. doi: 10.1155/2015/384148. Epub 2015 Jul 7.
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Sonographic detection of thyroid pyramidal lobes before thyroid surgery: a prospective single-center study.
术前超声探测甲状腺锥体叶:一项前瞻性单中心研究。
J Ultrasound Med. 2014 Feb;33(2):239-44. doi: 10.7863/ultra.33.2.239.
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Pyramidal lobe of the human thyroid gland: an anatomical study with clinical implications.人甲状腺的锥体叶:一项具有临床意义的解剖学研究。
Rom J Morphol Embryol. 2013;54(2):285-9.
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Anatomy of thyroid and parathyroid glands and neurovascular relations.甲状腺和甲状旁腺的解剖结构及神经血管关系。
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Agenesis of isthmus of thyroid gland, its embryological basis and clinical significance--a case report.甲状腺峡部缺如及其胚胎学基础和临床意义——1例病例报告
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Morphometric features of the thyroid gland: a cadaveric study of Turkish people.甲状腺的形态测量特征:一项对土耳其人的尸体研究。
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Thyroid and parathyroid ultrasound.甲状腺及甲状旁腺超声检查。
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