首页|血清TSH、sTg表达与甲状腺乳头状癌患者超声引导下射频消融预后的关系研究

血清TSH、sTg表达与甲状腺乳头状癌患者超声引导下射频消融预后的关系研究

Relationship between serum TSH,sTg and prognosis of ultrasound-guided radiofrequency ablation in patients with papillary thyroid cancer

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目的 观察血清刺激性甲状腺球蛋白(sTg)、促甲状腺激素(TSH)表达与甲状腺乳头状癌患者超声引导下射频消融预后的关系.方法 回顾性分析2022年1月至2023年1月在河北省衡水市第二人民医院接受超声引导下射频消融治疗且预后较好的30例甲状腺乳头状癌患者纳入预后良好组,同期经超声引导下射频消融治疗但出现转移、复发的30例甲状腺乳头状癌患者纳入预后不良组,对比2组患者治疗前空腹血清中sTg和TSH水平,分析血清中sTg和TSH水平与超声引导下射频消融治疗预后的关系.结果 预后不良组患者血清TSH和sTg表达水平均较预后良好组高(P<0.05).Logistic回归模型结果显示,患者治疗前空腹血清TSH、sTg表达与甲状腺乳头状癌患者超声引导下射频消融治疗预后有关,血清TSH、sTg过表达可能是甲状腺乳头状癌患者超声引导下射频消融治疗预后不良的风险因子(OR>1,P<0.05);绘制ROC曲线结果显示:治疗前空腹血清TSH和sTg表达预测甲状腺乳头状癌患者超声引导下射频消融治疗预后不良风险的AUC均>0.80.依据ROC曲线得出患者治疗前空腹血清TSH≥1.870 mIU/L、sTg≥15.125 μg/L时,甲状腺乳头状癌患者经超声引导下射频消融治疗预后不良的风险较高.结论 甲状腺乳头状癌患者治疗前空腹血清TSH和sTg表达与超声引导下射频消融治疗预后有关,血清TSH和sTg过表达是导致患者预后不良的危险因素.
Objective To observe the relationship between the expression of serum stimulated thyroglobulin(sTg),thyroid stimulating hormone(TSH)and the prognosis of patients with papillary thyroid cancer treated with ultrasound-guided radiofrequency ablation.Methods A retrospective analysis was conducted.30 patients with papillary thyroid cancer who received ultrasound-guided radiofrequency ablation in our hospital from January 2022 to January 2023 and had a good prognosis were included in the good prognosis group.30 patients with papillary thyroid cancer who under-went ultrasound-guided radiofrequency ablation but had metastasis and recurrence during the collection period were in-cluded in the poor prognosis group.The expression of sTg and TSH in fasting serum before treatment was compared between the two groups,and the relationship between the expression of sTg and TSH in serum and the prognosis of ul-trasound-guided radiofrequency ablation was analyzed.Results The expression of serum TSH and sTg in the poor prognosis group was higher than that in the good prognosis group,and the difference was statistically significant(P<0.05);There was no significant difference in other data between the two groups(P>0.05);The results of logistic re-gression model showed that the expression of fasting serum TSH and sTg before treatment was related to the progno-sis of patients with papillary thyroid cancer treated with ultrasound-guided radiofrequency ablation.The overexpression of serum TSH and sTg may be risk factors for poor prognosis of patients with papillary thyroid cancer treated with ul-trasound-guided radiofrequency ablation(OR>1,P<0.05);The results of ROC curve showed that the AUC of fasting serum TSH and sTg expression before treatment to predict the risk of poor prognosis in patients with papillary thyroid cancer treated with ultrasound-guided radiofrequency ablation was>0.80.According to the ROC curve,the fasting ser-um TSH and sTg before treatment were ≥1.870 mIU/L,≥15.125 μg/L,the higher the risk of poor prognosis in pa-tients with papillary thyroid cancer treated with ultrasound-guided radiofrequency ablation.Conclusion The expression of fasting serum TSH and sTg in patients with papillary thyroid cancer before treatment is related to the prognosis of ultrasound-guided radiofrequency ablation treatment.The overexpression of serum TSH and sTg is a risk factor for poor prognosis of patients.

papillary thyroid carcinomathyroid stimulating hormonestimulated thyroglobulinultrasound guided radiofrequency ablationpredictive value

孟芳、沈玉琴

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河北省衡水市第二人民医院超声科,河北衡水 053000

甲状腺乳头状癌 促甲状腺激素 刺激性甲状腺球蛋白 超声引导下射频消融治疗 预测价值

衡水市科技计划项目

2022014087Z

2024

中国实验诊断学
吉林大学中日联谊医院 上海交通大学医学院附属瑞金医院

中国实验诊断学

CSTPCD
影响因子:1.273
ISSN:1007-4287
年,卷(期):2024.(9)