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【195】甲状腺肿.ppt

  • 2026-07-01 12:36:57
【195】甲状腺肿.ppt

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PPT页数:25页
先看看我写的学习笔记,PPT往下翻。

一、概述

  1. 定义:由非炎症、非肿瘤原因导致的甲状腺弥漫性或结节性肿大,且甲状腺功能正常的疾病。
  2. 分类
    • 按甲状腺形态:分为弥漫性非毒性甲状腺肿(甲状腺弥漫均匀肿大,无明显结节)、非毒性多结节性甲状腺肿(甲状腺多个结节样肿大,形态不均)。
    • 按发病范围 / 流行情况:分为地方性甲状腺肿(地区儿童及青少年患病率>5% 或总人群>10%)、散发性甲状腺肿(无地区聚集性,散在发生)。
  3. 流行病学:女性发病率为男性的 3-5 倍,性别差异显著。

二、病因与发病机制

  1. 碘缺乏(地方性甲状腺肿主要病因)
    • 核心机制:碘是甲状腺激素合成关键原料,缺乏时激素合成不足→反馈刺激垂体分泌促甲状腺激素(TSH)增加→TSH 持续作用甲状腺→滤泡上皮细胞增生、腺体肥大。
    • 碘营养评价:以尿碘中位数(MUI)为指标,100-199μg/L 为最适当,<100μg/L 为缺乏,200-299μg/L 为超量,≥300μg/L 为过量。
  2. 遗传和环境因素(散发性甲状腺肿主要病因)
    • 遗传因素:遗传缺陷或基因突变(如钠碘转运体、甲状腺球蛋白等基因)致甲状腺激素合成障碍,间接引发增生肿大;胰岛素样生长因子 - 1(IGF-1)升高等也可直接促进甲状腺肿大。
    • 环境因素:卷心菜、白菜等致甲状腺肿食物含硫氰酸盐,抑制激素合成;硫氰酸盐、锂盐等致甲状腺肿药物,通过抑制激素合成或作用于甲状腺诱发肿大;吸烟可能增加发病风险。

三、病理

  1. 核心机制:TSH 及 IGF-1 等增生因子持续刺激甲状腺滤泡上皮细胞增生,导致腺体结构改变。
  2. 病理演变:初期为甲状腺弥漫性滤泡增生、间质血管充血、腺体均匀肿大;进展期部分滤泡增大含胶质、部分退化,结构不均;后期部分区域出血、坏死、囊性变等,逐渐形成结节。

四、临床表现

  1. 典型症状:多以局部压迫症状为主,轻度肿大者多无症状,体检时偶然发现;重度或特殊部位肿大时,压迫气管致呼吸不畅、胸闷等,压迫食管致吞咽困难,胸骨后甲状腺肿可致 Pemberton 征阳性(双手上举头顶合拢时面部充血、颈静脉怒张)。
  2. 甲状腺体征:形态上,弥漫性肿大者质地软、表面光滑,结节性肿大者质地中等、可触及多个结节;功能上,血清 FT3、FT4、TSH 正常,无甲亢或甲减相关症状。

五、诊断与鉴别诊断

  1. 诊断依据
    • 实验室检查:血清甲状腺功能(FT3、FT4、TSH)多正常,碘缺乏者 TT4 轻度下降、T3/T4 比值增高;甲状腺球蛋白(Tg)正常或轻度增高;抗甲状腺抗体(TPOAb、TgAb)多阴性;尿碘测定(MUI)可评估碘营养状态。
    • 影像学及功能检查:首选甲状腺超声,明确肿大特征、程度及是否压迫周围结构;超声引导下细针穿刺细胞学检查(FNA)用于评估非毒性多结节性甲状腺肿结节恶变风险;核素扫描、CT/MRI、吞钡 X 线造影、流速 - 容量环等按需选择,分别用于明确甲状腺功能、与周围组织关系、食管受压情况及气管狭窄程度。
  2. 鉴别诊断:需排除甲亢(有甲亢症状,FT3/FT4 升高、TSH 降低)、桥本甲状腺炎(TPOAb、TgAb 阳性,后期可能甲减)、甲状腺癌(多为孤立硬结节,超声有恶性征象,FNA 可确诊)、胸骨后肿瘤(核素扫描可明确是否为异位甲状腺组织)。

六、治疗

  1. 防治原则:一般无需治疗,碘缺乏者需改善碘营养状态。
  2. 预防措施:全民通过食盐加碘(含量 20-30mg/kg,地区可调整)预防;妊娠和哺乳期妇女需增加碘摄入,WHO 推荐每日 250μg,可通过加碘盐及海带等含碘食物补充。
  3. 治疗方案
    • 无需治疗:甲状腺轻度肿大、无压迫症状及外观困扰、功能正常者,每 6-12 个月复查甲状腺超声及功能。
    • 需治疗:甲状腺肿致明显压迫症状、为胸骨后甲状腺肿或影响外观(患者诉求强烈)时,首选手术治疗(甲状腺部分 / 次全切除术),不能耐受手术者可选放射性碘治疗;不建议常规使用超生理剂量甲状腺素(如左甲状腺素)TSH 抑制治疗,因其仅部分患者有效、停药易复发,且过量可能增加心律失常、骨量丢失风险。

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  1. CONNECT:[ UseTime:0.000920s ] mysql:host=127.0.0.1;port=3306;dbname=h_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001628s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000694s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000679s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001476s ]
  6. SELECT * FROM `set` [ RunTime:0.000620s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001459s ]
  8. SELECT * FROM `article` WHERE `id` = 528455 LIMIT 1 [ RunTime:0.000999s ]
  9. UPDATE `article` SET `lasttime` = 1783259849 WHERE `id` = 528455 [ RunTime:0.022846s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.001003s ]
  11. SELECT * FROM `article` WHERE `id` < 528455 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.001323s ]
  12. SELECT * FROM `article` WHERE `id` > 528455 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.001865s ]
  13. SELECT * FROM `article` WHERE `id` < 528455 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.002004s ]
  14. SELECT * FROM `article` WHERE `id` < 528455 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.001651s ]
  15. SELECT * FROM `article` WHERE `id` < 528455 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.005182s ]
0.190750s