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从病机共性探讨甲状腺结节与乳腺结节的内在联系

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目的 从病机共性探讨甲状腺结节与乳腺结节的内在联系.方法 随机选取2020年3月—2023年2月解放军总医院第三医学中心收治的268患者为研究对象,其中单纯甲状腺结节患者109例,单纯乳腺结节患者92例,甲状腺结节合并乳腺结节患者67例.对比3组患者的雌激素水平、甲状腺激素水平,分析甲状腺结节与乳腺结节的相关性.结果 单纯甲状腺结节患者与单纯乳腺结节患者的雌激素、甲状腺激素水平比较,差异无统计学意义(P均>0.05);单纯甲状腺结节患者、单纯乳腺结节患者分别与甲状腺结节合并乳腺结节患者各激素水平比较,差异有统计学意义(P均<0.05).Pearson相关性分析结果显示,促黄体生成素、催乳素、雌二醇、孕酮、游离三碘甲状腺原氨酸、游离甲状腺素、促甲状腺激素与甲状腺结节存在相关性(r=0.128、0.046、0.258、-0.364、-0.089、-0.140、0.293,P均<0.05),与乳腺结节同样存在相关性(r=0.149、0.525、0.067、-0.385、-0.162、-0.627、0.219,P均<0.05).结论 甲状腺结节与乳腺结节患者均存在明显的内分泌与雌激素水平波动,其可使甲状腺、乳腺异常增生,甲状腺结节与乳腺结节内在联系在于有共同的生理病理基础.
Internal Relationship between Thyroid Nodules and Breast Nodules under the Pathogenetic Commonalities
Objective To explore the internal relationship between thyroid nodules and breast nodules from the patho-genetic commonalities.Methods A total of 268 patients admitted to the Third Medical Center of PLA General Hospital from March 2020 to February 2023 were randomly selected as the study objects,including 109 patients with simple thyroid nodules,92 patients with simple breast nodules,and 67 patients with thyroid nodules combined with breast nodules.The levels of estrogen and thyroid hormone in 3 groups were compared.The correlation between thyroid nod-ules and breast nodules was analyzed.Results There were no statistically significant differences in the levels of estro-gen and thyroid hormone between patients with simple thyroid nodule and patients with simple breast nodule,and the differences were statistically significant(all P>0.05).The levels of hormone in patients with simple thyroid nodule and simple breast nodule were significantly different from those in patients with thyroid nodule combined with breast nod-ule,and the differences were statistically significant(all P<0.05).Pearson correlation analysis showed that luteinizing hormone,prolactin,estradiol,progesterone,free triiodothyronine,free thyroxine and thyrotropin were correlated with thyroid nodular activity,and the differences were statistically significant(r=0.128,0.046,0.258,-0.364,-0.089,-0.140,0.293,all P<0.05)and they were also correlated with breast nodule,and the differences were statistically sig-nificant(r=0.149,0.525,0.067,-0.385,-0.162,-0.627,0.219,all P<0.05).Conclusion Endocrine and estrogen lev-els fluctuated significantly in both patients with thyroid nodules and breast nodules.It can cause abnormal hyperplasia of thyroid gland and mammary gland.The intrinsic relationship between thyroid nodule and mammary gland nodule lies in the common physiological and pathological basis.

Thyroid nodulesBreast nodulesCommonality of pathogenesisEndocrineThyroid hormoneEstrogen

赵峰霞、郑召召、王雅静

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解放军总医院第三医学中心普通外科,北京 100039

北京市广宁社区卫生服务中心,北京 100039

甲状腺结节 乳腺结节 病机共性 内分泌 甲状腺激素 雌激素

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(8)
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