中华劳动卫生职业病杂志
中華勞動衛生職業病雜誌
중화노동위생직업병잡지
CHINESE JOURNAL OF INDUSTRIAL HYGIENE AND OCCUPATIONAL DISEASES
2013年
10期
772-774
,共3页
彩色超声多普勒%职业性%临床甲状腺功能减退%亚临床甲状腺功能减退
綵色超聲多普勒%職業性%臨床甲狀腺功能減退%亞臨床甲狀腺功能減退
채색초성다보륵%직업성%림상갑상선공능감퇴%아림상갑상선공능감퇴
Color Doppler ultrasound%Occupational%Clinical hypothyroidism%Subclinical hypothyroidism
目的 探讨彩色多普勒超声技术在放射工作人员甲状腺功能减退检查中的应用意义.方法 选择临床及实验室确诊的181例从事放射工作的甲状腺功能减退患者,将其分为X线诊断组、介入放射组及放疗组,另以62例健康体检者作为正常对照.对其进行彩色多普勒超声检查,并对其甲状腺功能、声像图及血流特点进行分析.结果 X线诊断组、介入放射组及放疗组游离甲状腺素(FT4)及促甲状腺素(TSH)水平在不同工龄段间的差异具有统计学意义(P＜0.05).X线诊断组、介入放射组及放疗组中甲减患者甲状腺内呈强弱不等回声的比例均高于本工种亚甲减组(P＜0.05).X线诊断组、介入放射组及放疗组中Ⅱ级、Ⅲ级血流信号构成比明显高于对照组,差异有统计学意义(P＜0.05).X线诊断组、介入放射组及放疗组甲状腺上动脉收缩期最大血流速度(Vmax)明显高于对照组,各组中甲减患者的Vmax高于本组亚甲减患者,差异有统计学意义(P＜0.05).结论 彩色多普勒超声检测作为无创性及经济、简便的检测,对职业性甲状腺功能减退患者的评价具有一定的价值,可在临床推广应用.
目的 探討綵色多普勒超聲技術在放射工作人員甲狀腺功能減退檢查中的應用意義.方法 選擇臨床及實驗室確診的181例從事放射工作的甲狀腺功能減退患者,將其分為X線診斷組、介入放射組及放療組,另以62例健康體檢者作為正常對照.對其進行綵色多普勒超聲檢查,併對其甲狀腺功能、聲像圖及血流特點進行分析.結果 X線診斷組、介入放射組及放療組遊離甲狀腺素(FT4)及促甲狀腺素(TSH)水平在不同工齡段間的差異具有統計學意義(P＜0.05).X線診斷組、介入放射組及放療組中甲減患者甲狀腺內呈彊弱不等迴聲的比例均高于本工種亞甲減組(P＜0.05).X線診斷組、介入放射組及放療組中Ⅱ級、Ⅲ級血流信號構成比明顯高于對照組,差異有統計學意義(P＜0.05).X線診斷組、介入放射組及放療組甲狀腺上動脈收縮期最大血流速度(Vmax)明顯高于對照組,各組中甲減患者的Vmax高于本組亞甲減患者,差異有統計學意義(P＜0.05).結論 綵色多普勒超聲檢測作為無創性及經濟、簡便的檢測,對職業性甲狀腺功能減退患者的評價具有一定的價值,可在臨床推廣應用.
목적 탐토채색다보륵초성기술재방사공작인원갑상선공능감퇴검사중적응용의의.방법 선택림상급실험실학진적181례종사방사공작적갑상선공능감퇴환자,장기분위X선진단조、개입방사조급방료조,령이62례건강체검자작위정상대조.대기진행채색다보륵초성검사,병대기갑상선공능、성상도급혈류특점진행분석.결과 X선진단조、개입방사조급방료조유리갑상선소(FT4)급촉갑상선소(TSH)수평재불동공령단간적차이구유통계학의의(P＜0.05).X선진단조、개입방사조급방료조중갑감환자갑상선내정강약불등회성적비례균고우본공충아갑감조(P＜0.05).X선진단조、개입방사조급방료조중Ⅱ급、Ⅲ급혈류신호구성비명현고우대조조,차이유통계학의의(P＜0.05).X선진단조、개입방사조급방료조갑상선상동맥수축기최대혈류속도(Vmax)명현고우대조조,각조중갑감환자적Vmax고우본조아갑감환자,차이유통계학의의(P＜0.05).결론 채색다보륵초성검측작위무창성급경제、간편적검측,대직업성갑상선공능감퇴환자적평개구유일정적개치,가재림상추엄응용.
Objective To explore the application of color Doppler ultrasound in examining hypothyroidism among radiation-exposed workers.Methods A total of 181 radiation-exposed workers who had clinical and laboratorial diagnoses of hypothyroidism were divided into X-ray diagnosis group,interventional radiology group,and radiotherapy group.Another 62 healthy people who underwent physical examinations were used as control group.All cases underwent color Doppler ultrasound; thyroid function,sonograms,and blood flow characteristics were analyzed.Results In the X-ray diagnosis group,interventional radiology group,and radiotherapy group,significant differences in the levels of free thyroxine and thyroid-stimulating hormone were found across workers with different lengths of service (P＜0.05).In the X-ray diagnosis group,interventional radiology group,and radiotherapy group,the percentages of individuals having uneven internal echo intensity among clinical hypothyroidism cases were higher than the percentages among subclinical hypothyroidism cases (P＜0.05).The X-ray diagnosis group,interventional radiology group,and radiotherapy group had significantly higher constituent ratios of grade Ⅱ and Ⅲ blood flow signals than the control group (P＜0.05).The peak systolic velocity of the superior thyroid artery (Vmax) was significantly higher in the X-ray diagnosis group,interventional radiology group,and radiotherapy group than in the control group (P＜0.05); in each group,Vmax was significantly higher in clinical hypothyroidism cases than in subclinical hypothyroidism cases (P＜0.05).Conclusion As a simple,non-invasive,and economic examination,color Doppler ultrasound has been demonstrated as a valuable method for evaluating occupational hypothyroidism and holds promise for clinical application.
