ZHAO Ling. Effect of ultrasound monitoring of thyroid measured values on evaluating the prognosis of infants with congenital hypothyroidism. [J]. Journal of Southwest Medical University 43(1):40-43(2020)
ZHAO Ling. Effect of ultrasound monitoring of thyroid measured values on evaluating the prognosis of infants with congenital hypothyroidism. [J]. Journal of Southwest Medical University 43(1):40-43(2020)DOI:
Effect of ultrasound monitoring of thyroid measured values on evaluating the prognosis of infants with congenital hypothyroidism
P <0.05);研究组连续治疗至3岁甲状腺发育减小与血清学甲状腺功能正常(TSH、T3、T4)呈负相关(r=-0.912
P <0.05)。结论:超声动态监测婴幼儿甲状腺测值尤其是甲状腺前后径测值对先天性甲状腺减退症的预后有提示作用。
Abstract
Objective:To investigate the effect of ultrasound monitoring of thyroid measured values on evaluating the prognosis of infants with congenital hypothyroidism. Methods:A total of 74 infants with congenital hypothyroidism who were screened out by Mianyang Branch of Sichuan Provincial Center of Screening for Neonatal Inherited Metabolic Diseases from August 2015 to August 2016 were enrolled as study group
and 74 healthy infants were enrolled as control group. A retrospective analysis was performed for related data
including left-right diameter
anteroposterior diameter
and superior-inferior diameter of the thyroid and the size of the isthmus of thyroid gland(anteroposterior diameter) at the age of 1
6
12
24
and 36 months. Results:Compared with the control group
the study group had a significantly lower anteroposterior diameter of the thyroid at different ages in months(P < 0.05). There were no significant differences between the two groups in the left-right diameter and the superior-inferior diameter of the thyroid and the anteroposterior diameter of the isthmus of thyroid gland at different ages in months(P > 0.05).In the patients of study group
who were continuously treated until the age of 3 years
the increase in the size of the thyroid was positively correlated with normal results of the serum thyroid function test(TSH
T3
and T4)(r = 0.99
P < 0.05)
and the decrease in the size of the thyroid was negatively correlated with normal results of the serum thyroid function test(TSH
T3
and T4)(r =-0.912
P < 0.05). Conclusion:Dynamic ultrasound monitoring of thyroid measured values
especially the anteroposterior diameter of thyroid
has a certain effect in evaluating the prognosis of congenital hypothyroidism.