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甲状腺及假性甲状腺功能障碍作为促进良性局灶性甲状腺病变复发的一个原因。

Thyroid and Pseudothyroid Dysfunction as a Cause That is Promoting the Relapse of Benign Focal Thyroid Pathology.

作者信息

Tkachuk Nina Petrivna

机构信息

Department of Surgery No. 1, Higher State Educational Establishment of Ukraine "Bukovinian State Medical University", Chernivtsi, Ukraine.

出版信息

J Med Life. 2020 Jul-Sep;13(3):426-430. doi: 10.25122/jml-2020-0130.

Abstract

Several studies deal with learning causes stipulating nodular formations in the thyroid tissue, including those occurring against the ground of metabolic disorders of thyroid hormones. Our study's objective was to determine the peculiarities of thyroid homeostasis disorders in patients suffering from benign nodular thyroid pathology with relapses of the disease and its relapse-free course. For this purpose, 96 female patients suffering from nodular thyroid pathology and 20 without thyroid pathology were examined. In the course of the study, the following were found in patients with benign focal thyroid pathology: disorders of the peripheral conversion of the thyroid hormones, compensatory activation of the hypothalamic-pituitary system evident in increased levels of the thyroid-stimulating hormone, ТSH/fT3 and ТSH/fT4 ratios, increasing titers of the anti-thyroid antibodies which can be hazardous for the risk of development of nodules or reflects the process of thyroid tissue damage; high level of thyroglobulin caused by an increased probability of relapse and rate of nodule growth, an increase of the thyroid gland volume associated with activation of the hypothalamic-pituitary system, increased antibodies titer and thyroid gland damage. Thus, changes of the examined indices in the blood can be used as prognostic markers concerning the relapse of nodule formation in the thyroid tissue.

摘要

多项研究探讨了甲状腺组织中形成结节的原因,包括那些因甲状腺激素代谢紊乱而出现的结节。我们研究的目的是确定患有良性结节性甲状腺疾病且疾病复发及其无复发病程的患者甲状腺内环境稳定紊乱的特点。为此,对96例患有结节性甲状腺疾病的女性患者和20例无甲状腺疾病的患者进行了检查。在研究过程中,在患有良性局灶性甲状腺疾病的患者中发现了以下情况:甲状腺激素外周转化紊乱,下丘脑-垂体系统的代偿性激活表现为促甲状腺激素水平升高、TSH/fT3和TSH/fT4比值升高,抗甲状腺抗体滴度增加,这可能对结节形成的风险有害或反映甲状腺组织损伤过程;由于复发概率增加和结节生长速度加快导致甲状腺球蛋白水平升高,甲状腺体积增大与下丘脑-垂体系统激活、抗体滴度增加和甲状腺组织损伤有关。因此,血液中检测指标的变化可作为甲状腺组织中结节形成复发的预后标志物。

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