CAJ | 학술논문

目的：分析疑似甲状腺疾病患者甲状腺功能5项（简称甲功5项）检测结果及其临床诊断符合率。方法收集2011～2013年共计15579例疑似甲状腺疾病患者临床资料，根据疾病类型及甲功5项检测结果分为甲状腺功能亢进症（简称甲亢）组、甲状腺功能减退症（简称甲减）组、甲状腺功能正常组和其他甲状腺疾病组，计算各类型患者所占比例；在4组患者中各随机抽取100例，计算甲功5项检测结果平均值和标准差，评价各指标的临床诊断符合率。结果15579例患者中，甲亢占24．73％，甲减占9．83％，其他甲状腺疾病占7．56％，甲状腺功能正常占57．89％，前三者所占比例与甲状腺功能正常所占比例比较差异有统计学意义（ P＜0．05）。甲功5项各指标临床诊断符合率为81．00％～99．00％。结论甲功5项检测有利于甲状腺疾病的诊断和鉴别诊断；各指标临床诊断符合率相对较高，但仍存在导致漏诊的可能。
목적：분석의사갑상선질병환자갑상선공능5항（간칭갑공5항）검측결과급기림상진단부합솔。방법수집2011～2013년공계15579례의사갑상선질병환자림상자료，근거질병류형급갑공5항검측결과분위갑상선공능항진증（간칭갑항）조、갑상선공능감퇴증（간칭갑감）조、갑상선공능정상조화기타갑상선질병조，계산각류형환자소점비례；재4조환자중각수궤추취100례，계산갑공5항검측결과평균치화표준차，평개각지표적림상진단부합솔。결과15579례환자중，갑항점24．73％，갑감점9．83％，기타갑상선질병점7．56％，갑상선공능정상점57．89％，전삼자소점비례여갑상선공능정상소점비례비교차이유통계학의의（ P＜0．05）。갑공5항각지표림상진단부합솔위81．00％～99．00％。결론갑공5항검측유리우갑상선질병적진단화감별진단；각지표림상진단부합솔상대교고，단잉존재도치루진적가능。
Objective To investigate diagnose accordance rate of thyroid function tests .Methods Clinical data of 15 579 patients suspected with thyroid diseases ,treated during 2011 and 2013 ,were collected ,who were divided into hyperthyroidism group ,hypot‐hyroidism group ,normal group and other diseases group .Proportions of each type of patients were calculated .In each group ,100 pa‐tients were randomly selected to analyze the diagnose accordance rate of thyroid function tests .Results Among all of the 15 579 pa‐tients ,the proportion of hyperthyroidism(24 .73% ) ,hypothyroidism(9 .83% ) and other thyroid diseases(7 .56% ) were statistically different with the proportion of normal thyroid function (57 .89% ,P< 0 .05) .The diagnose accordance rates of thyroid function tests were 81 .00%‐99 .00% .Conclusion Thyroid function tests could be helpful for the diagnosis and differential diagnosis of thy‐roid diseases ,but still with probability of missed diagnosis .