甲状腺肿块的高频彩色多普勒超声诊断

目的 :探讨高频彩色多普勒超声检查对甲状腺肿块的诊断价值。方法 :对 48例甲状腺包块患者进行二维及彩色多普勒血流显像超声检查。结果 :48例甲状腺包块患者共检出肿块 67个 ,超声检查与病理对照除 3例误诊外 ,其余 45例与病理结果包括肿块部位、数目均符合 ,符合率 90 % ( 42 / 45 )。结论 :高频彩色多普勒超声检查对甲状腺肿块具有较高的诊断价值 ,可为临床提供有价值的诊断依据     

甲状腺冰对蜡块与冰剩蜡块免疫组织化学染色效果比较

目的通过对甲状腺冰对蜡块与冰剩蜡块免疫组织化学染色效果进行对照观察．发现冰对蜡块与冰剩蜡块对免疫组织化学染包效果的差异，为选择冰对蜡块与冰剩蜡块做免疫组织化学提供理论实践依据。方法3冰对蜡块与冰剩蜡块分别切片用EnVision法做TTF-1，CK19，Gal—3，HBME—1．TPO,TG免疫组织化学染色。结果对TTF—1．CK19．Gal-3，HBME-1，TPO，TG免疫组织化学染色结果的背景．定位进行分析．冰对蜡块与冰剩蜡块免疫组织化学染色各项指标阳性率完全一致。结论冰对蜡块与冰剩蜡块分别做免疫组织化学染色结果无明显差别．在没有冰剩蜡块或冰剩蜡块不符合要求时选择冰对蜡块做免坡组化．结果对诊断无影响。     

正常人和AITD患者对碘致甲状腺细胞凋亡的不同敏感性

目的:探讨碘对体外培养的Grave s病(GD)、桥本氏甲状腺炎(HT)、正常人甲状腺滤泡上皮细胞(TEC)凋亡及相关蛋白表达的影响并明确正常人和自身免疫性甲状腺疾病(AITD)患者甲状腺细胞对碘的敏感性.方法:分离培养正常、GD和HT甲状腺细胞,给予不同浓度碘化钠(NaI)干预,流式细胞仪检测细胞凋亡率,免疫组化检测各组Fas/Fasl表达的水平;比较各组细胞对碘致凋亡和凋亡蛋白表达的敏感性.结果:NaI可以使正常、GD、HT患者甲状腺细胞凋亡率增加(P<0.05),并使相关的凋亡蛋白及基因Fas/Fasl表达增加,但HT和GD甲状腺细胞凋亡和Fas/Fasl表达率较正常甲状腺细胞增加更明显,以HT患者甲状腺细胞加高碘培养后凋亡更多(P<0.05).结论:与正常人相比,AITD患者对高碘导致的甲状腺细胞凋亡更敏感.     

Thyroid hormone controls carnitine status through modifications of γ-butyrobetaine hydroxylase activity and gene expression

The carnitine system plays a key role in β-oxidation of long-chain fatty acids by permitting their transport into the mitochondrial matrix. The effects of hypothyroidism and hyperthyroidism were studied on γ-butyrobetaine hydroxylase (BBH), the enzyme responsible for carnitine biosynthesis in the rat. In rat liver, BBH activity was decreased in the hypothyroid state and increased in hyperthyroid animals. The modifications in BBH activity correlated with changes in the enzyme Vmax values. These changes were shown to be related to hepatic BBH mRNA abundance. Thyroid hormones are known to interact with lipid metabolism, in particular by increasing long-chain fatty acid oxidation through activation of carnitine-dependent fatty acid import into mitochondria. Our study showed that thyroid hormones also increased carnitine bioavailability. Received 23 October 2001; received after revision 11 January 2002; accepted 15 January 2002     

手术治疗甲状腺肿瘤62例体会

目的探讨手术切除治疗甲状腺肿瘤的疗效。方法回顾分析我院2005至2007年收治的62例甲状腺肿瘤的患者资料，根据病情分别采用单侧甲状腺叶切除或者腺瘤单切加腺叶部分切除法，对其治疗效果、风险及并发症进行分析。结果62例患者术后除1例皮下出血，1例复发外，无喉返神经、喉上神经损伤，无永久性甲状旁腺甲状腺功能低下。结论单侧甲状腺叶切除或者腺瘤单切加腺叶部分切除法治疗甲状腺肿瘤并发症少，临床效果满意。     

Thyroxine-induced redistribution of creatine kinase isoenzymes in rat cardiomyocyte cultures

Summary The present study demonstrates a change occurring in the creatine-kinase isoenzyme profile of cardiomyocyte cultures induced by a chronic administration of excessive amounts of thyroid hormones (TH). This change is manifested by an increased level of the CK-BB isoenzyme, generally at the expense of CK-MM isoenzyme. The elevation of CK-BB is probably a result of a specific effect of TH through activation of gene expression, rather than a contribution of an increased number of non-myocardial cells. The implications of these results in the diagnosis of heart failures are discussed.     

乙酰肝素酶与甲状腺乳头状癌淋巴结转移的相关性研究

【目的】通过研究乙酰肝素酶(HPA)含量与微淋巴管密度的关系,探讨HPA在甲状腺乳头状癌淋巴结转移中的作用。【方法】采用Envision免疫组织化学两步法检测150例甲状腺乳头状癌和200例结节性甲状腺肿患者乙酰肝素酶、D2-40的表达情况,计算乙酰肝素酶平均光密度值与D2-40阳性标记的微淋巴管密度,分析乙酰肝素酶含量与微淋巴管密度间的关系,同时与结节性甲状腺肿患者微淋巴管密度和乙酰肝素酶含量分别进行比较。【结果】甲状腺乳头状癌患者微淋巴管密度和乙酰肝素酶含量明显高于结节性甲状腺肿患者(P0.01),癌组织乙酰肝素酶含量与微淋巴管密度呈正相关关系(P0.01)。【结论】甲状腺乳头状癌患者乙酰肝素酶与微淋巴管形成有密切关系,乙酰肝素酶可作为其临床疗效判断和新药研发的参考指标。     

甲状腺癌的高频超声诊断

目的探讨高频超声对甲状腺癌的诊断价值。方法对经病理证实的28例甲状腺癌的超声图像特征进行回顾性分析。结果甲状腺癌多数具有边界不规则、不清晰，单发的实性低回声结节，内部微粒状钙化及血流高速高阻等特征性表现。结论高频超声诊断甲状腺癌敏感性高，其声像图较具特征。     

Action of TSH on nuclear ADP-ribosylation in dog thyroid slices

Summary Treatment of dog thyroid slices with thyrotropin (TSH) results in an increase in ADP-ribosylation in nuclei isolated thereafter. This increase is time-dependent and is observed with concentrations of TSH eliciting physiological responses. The technique described here does not involve permeabilization of cell membranes, thereby avoiding artefacts which could arise from hypotonic shock. Cyclic AMP mimicked the stimulatory action of TSH.