Wahl R, Grussendorf M, Hüfner M, Ntokalou M, Allenberg J R, Röher H D
Chir Forum Exp Klin Forsch. 1977 Apr:49-53.
The thyroid hormone concentrations of T2, T3 (and the inactive R-T3) were determined in thyroid tissue of 20 patients with autonomous adenomas. High concentrations were found in scintigrafically decompensated adenomas without preoperative thyrostatic treatment. Decompensated adenomas after thyrostatic treatment, compersated adenomas and a group of 9 euthyroid goiters showed no difference in tissue-concentrations of T4 and T3. The amount of tissue-R-T3 seems to be lowered in autonomy. The plasma-concentration of T3, which was intraoperatively elevated in the venous effluent from decompensated adenomas without thyrostatic treatment, was significantly lower in the blood draining decompensated adenomas after thyrostatic treatment as well as compensated adenomas.
测定了20例自主性腺瘤患者甲状腺组织中T2、T3(以及无活性的反式T3,即R-T3)的甲状腺激素浓度。在未经术前抗甲状腺药物治疗、闪烁扫描显示失代偿的腺瘤中发现了高浓度的甲状腺激素。经抗甲状腺药物治疗后失代偿的腺瘤、代偿性腺瘤以及一组9例甲状腺功能正常的甲状腺肿患者,其组织中T4和T3的浓度无差异。自主性腺瘤组织中的R-T3含量似乎降低。未经抗甲状腺药物治疗、失代偿腺瘤的静脉流出液中术中T3血浆浓度升高,而经抗甲状腺药物治疗后失代偿腺瘤以及代偿性腺瘤引流血液中的T3血浆浓度则显著降低。