| 单纯性甲状腺肿病儿的远期预后 |
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| 引用本文： | 李堂,杜嗣廉,林荣军,战永才,宫兆柱. 单纯性甲状腺肿病儿的远期预后[J]. 青岛大学医学院学报, 1995, 0(1) |
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| 作者姓名： | 李堂 杜嗣廉 林荣军 战永才 宫兆柱 |
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| 作者单位： | 山东省龙口市人民医院，山东省乳山市人民医院 |
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| 摘 要： | 对３８０例（男１４３例，女２３７例；年龄７～１３岁）单纯性甲状腺肿病儿进行５年随访。结果表明，２４６例（６４．７％）甲状腺肿大程度无变化，７６例（２０．０％）减轻，２６例（６．９％）消失，２５例（６．６％）加重，７例（１．８％）出现甲状腺结节。６例（１．６％）表现出甲状腺功能亢进症状，４例（１．１％）表现出甲状腺功能减低症状。８例（２．１％）甲状腺球蛋白抗体（ＴＧＡ）和甲状腺微粒体抗体（ＴＭＡ）转为阳性，诊断慢性淋巴细胞甲状腺炎。此结果显示，９０％以上的单纯性甲状腺肿病儿预后良好，但小部分（＜１０％）发展为某种甲状腺疾病。提示对本病病儿进行定期检查是必要的。
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| 关 键 词： | 甲状腺肿，预后，随访研究，儿童 |
LONG-TERM PROGNOSIS OF CHILDREN WITH SIMPLE GOITER |
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| Li Tang,DuSilian,Lin Rongjun,et al. LONG-TERM PROGNOSIS OF CHILDREN WITH SIMPLE GOITER[J]. Acta Academiae Medicinae Qingdao Universitatis, 1995, 0(1) |
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| Authors: | Li Tang DuSilian Lin Rongjun et al |
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| Affiliation: | Department of Pedriatics |
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| Abstract: | A five-year follow-up of 380 children with simple goiter(male 143,female 237,aged 7-13 years) showed that the enlarged thyroid remained unchanged in size in 246 cases(64.7%),became smaller in 76(20.0%),disappeared in 26(6.9%),and grew still larger in 25(6.6%);In 7 cases(1.8%),a single nodule was observed in the thyroid.Symptoms of hyperthyroidism developed in 6(1.6%) and hypothyroidism in 4(1.1%).Chronic lymphocytic thyroiditis was disgnosed in 8(2.1%),for their thyroid globulin antibody test(TGAT) and thyroid microsomal antibody test(TMAT) had turned positive.The results indicate that the prognosis of simple goiter is excellent in more than 90% of the cases.A small part of the patients,however,may develop into a kind of thyroid disease.We therefore consider it necessary to re-evaluate the conditions of the patients periodically. |
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| Keywords: | goiter prognosis follow-up studies child |
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