摘要
目的考察血清促甲状腺激素(TSH)水平对胆管结石复发的影响。方法选取胆管结石病人301例,其中177例病人按TSH水平分为低TSH组53例,中TSH组55例,高TSH组69例。另124例病人给予左甲状腺钠片治疗,依据治疗3个月后TSH是否恢复正常,分为控制组和非控制组,记录病人6、12和24个月的胆管结石复发率。结果高、中、低TSH组在6、12和24个月的复发率差异无统计学意义(P>0.05);复发组T3和未复发组差异有统计学意义(P<0.05);控制组6、12和24月胆管结石复发率和非控制组差异有统计学意义(P<0.05);非控制组T3和控制组差异有统计学意义(P<0.05);非控制组TSH和控制组差异有统计学意义(P<0.05)。结论 TSH水平提高可能会导致胆管结石的复发率上升。
Objective To investigate the effect of serum thyroid stimulating hormone （TSH） on the thyroid of bile duct stones. Methods Selected 301 cases of bile duct stones patients and 177 cases were divided into low TSH group （53 cases） ,medium TSH group （55 cases） and high TSH group （69 cases） according to the level of TSH. 124 cases of patients received left thyroid sodium tab-lets treatment. According to the results of treatment, patients were divided into control group and out of control group, recorded 6 months, 12 months and 24 months recurrence rate of hepatolithiasis. Results There was no significant difference in recurrence rate between 6 ,12 and 24 months in higher, middle and lower TSH group （ P 〉 0. 05 ） ;There was a significant difference between T3 and no recurrence group （P 〈0.05） ;The recurrence rate of bile duct stones in control group 6,12 and 24 months was significantly lower than that in non control group （ P 〈 0. 05 ） ; There was a significant difference between T3 and control group （ P 〈 0. 05 ） ; There was a significant difference between TSH and control group （P 〈0. 05） . Conclusions Increased TSH levels may increase the recurrence rate of bile duct stones.
出处
《安徽医药》
CAS
2017年第2期280-282,共3页
Anhui Medical and Pharmaceutical Journal
关键词
血清促甲状腺激素
胆管结石
复发
甲状腺
Serum thyroid stimulating hormone
Bile duct stones
Recurrence
Thyroid
