学科分类
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4 个结果
  • 简介:异位甲状腺(ETG)是由发育缺陷引致的一种罕见异例,全身许多部位均可发现,以占总病例约90%的舌根异位甲状腺最为常见。本文介绍2例女患者,1例为舌根部ETG;另1例为颈上部ETG腺瘤。舌根部ETG,根据症状、肿块形态、影像学扫描、甲状腺激素检查及同位素试验确诊。颈部ETG的诊断,需与常易误诊的甲状舌管囊肿鉴别,且需除外转移性癌,确诊:通过细针抽吸活检、影像学扫描(首选“彩超”)、甲状腺激素检查及同位素试验。ETG的治疗:酌情选用合适的手术(如甲状腺移植)、必要的甲状腺制剂疗法和定期随访。

  • 标签: 异位甲状腺 细针抽吸活检 彩超 甲状腺移植 甲状腺功能减退
  • 简介:AIM:Toinvestigatethepossiblerelationshipbetweentheinfluencingfactorsoccurringbeforeandduringbirthinfull-terminfantsandtheoutcomeofretinopathy.·METHODS:Totally816full-terminfantsadmittedintheneonateintensiveunitofBoaiHospitalofZhongshanbetween1May,2008and30June,2011wereincludedinthestudy.Fundusexaminationwasperformedandevaluatedindividuallyonthemattheageof48hoursafterdelivery,2weeksand1month.Somepossibleriskfactorshappeningprenatallyorduringdeliverysuchaspregnantrelatedhypertension,placentaprevia,placentalabruptionetc,aswellassomeneonatalriskfactorssuchasneonatalasphyxia,hypoxic-ischemicencephalopathy(HIE),lowbirthweightetc,wererecordedandevacuated.Thentheeffectoftheriskfactorsoffull-terminfantsonretinopathywasstudied.·RESULTS:Theincidenceofretinalhemorrhageoffull-terminfantswithprenatalpregnantrelatedhypertension(PRH)ofthemother(43.6%)wassignificantlyhigherthanthatoffull-terminfantswithout(8.0%).(P<0.001).Theincidenceofretinalhemorrhageoffull-terminfantswithneonatalasphyxiaand/orhypoxic-ischemicencephalopathy(HIE)(29.3%)wassignificantlyhigherthanthatofthosewithout(15.7%),butcorrelationwasnotfoundbetweentheseverityofretinahemorrhageandthedegreeofhypoxicdisease.Apalecolorofopticdiscwasassociatedwithalowbirthweightoffull-terminfant.Full-terminfantswithbirthweighlessthan2500ghadasignificanthigherincidenceofretinopathythanthosewithbirthweightequalormorethan2500g(P<0.001).·CONCLUSION:Themaininfluencingfactorswhichleadtoretinopathyofhighriskfull-terminfantsareprenatalfactorssuchasPRH,andsomeneonatalriskfactorssuchasasphyxia,hypoxic-ischemicencephalopathy,andlowbirthweight.

  • 标签: FULL-TERM INFANT HIGH RISK FACTOR RETINOPATHY