印度中部地区的甲状腺体积及其与甲状腺功能的相关性

Future Health Pub Date : 2024-03-03 DOI:10.25259/fh_18_2024
Alka Agrawal, Gaurav Bhandari, Ashish Sahoo, Priya Solanki
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引用次数: 0

摘要

由于甲状腺体积与年龄、性别、人体测量参数和地理位置密切相关,因此甲状腺体积差异很大。找到健康人正常甲状腺容积的参考范围对每个社区都至关重要。这样,公众就能更好地对甲状腺肿进行分级,大规模的碘监测行动也将以此为指导。在诊断甲状腺肿大方面,超声波检查比临床检查更准确,因此消除了甲状腺肿大患病率被高估以及与触诊估计相关的观察者之间的显著差异等问题。这项研究旨在利用超声波检查确定印度中部正常成年人群的甲状腺总容积参考范围,并将结果与甲状腺功能检测联系起来。共有 410 名健康受试者。该研究利用B-灰阶X线成像来评估甲状腺的总体体积,方法是将两叶的体积相加,用椭圆体公式计算得出。为了检查甲状腺功能,研究人员采集了血液样本。所有研究参与者的平均甲状腺体积为 6.90 ± 1.74 毫升。男性的腺体体积(7.30 ± 1.86 ml)明显大于女性(6.63 ± 1.61 ml)(P<0.001)。在这两种性别中,右叶的体积都大大高于左叶(3.76 ± 0.96 ml vs. 3.14 ± 0.89 ml,P <0.001)。甲状腺功能检测与腺体体积之间没有明显的关系。我们努力帮助我们的社区设定参考值,但要为全国设定甲状腺体积参考值,还需要进行更广泛的研究。
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Thyroid volume and its correlation with thyroid function in Central India
Due to its strong correlation with age, gender, anthropometric parameters, and geographic location, thyroid gland volume varies widely. Finding the reference range of a healthy individual’s normal thyroid gland volume has become crucial for every community. Thus, the public will be better able to grade goiter, and large-scale iodine monitoring initiatives will be guided by this. Ultrasound (US) eliminates the issues of overestimation of goiter prevalence and significant interobserver variability associated with palpation estimates, as it is more accurate than clinical examination in diagnosing enlarged thyroid glands. This research aimed to use ultrasonography to determine reference ranges for total thyroid volume in the normal adult population in central India and to connect the results with thyroid function tests. A tertiary-care hospital hosted a prospective cross-sectional study. There were 410 healthy subjects in total. B-Grey scale imaging US was utilized to assess the overall thyroid volume by adding the volume of both lobes, which was calculated using the ellipsoid formula. In order to examine thyroid function, blood samples were obtained. Age-appropriate thyroid volume reference values were found. The average thyroid gland volume across all research participants was 6.90 ± 1.74 ml. The gland volume of males was considerably greater (7.30 ± 1.86 ml) than that of females (6.63 ± 1.61 ml) (P<0.001). In both genders, the right lobe’s volume was considerably higher than the left lobe’s (3.76 ± 0.96 ml vs. 3.14 ± 0.89 ml, P < 0.001). There was no discernible relationship between thyroid function tests and gland volume. We made an effort to help set the reference values for our community, but more extensive research is needed to set the thyroid gland volume reference values for the entire country.
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