住院患者的甲状腺附带瘤与COVID-19:一个单一中心的回顾性分析
Methus Jantarapootirat1, Sirinapa Traiwanatham1, Pornrujee Hirunpat1
1Faculty of Medicine Ramathibodi Hospital, Ramathibodi School of Medicine, Chakri Naruebodindra Medical Institute, Mahidol University, Samut Prakan 10540, Thailand.
Journal of the Endocrine Society
|May 31, 2023
概括
在接受胸部CT的COVID-19患者中,甲状腺附带瘤的患病率为20.2%. 女性性别和年龄较大被确定为这些偶然发现的重要预测因素.
科学领域:
- 放射学 放射学是一门学科.
- 内分泌学 在内分泌学.
- 传染性疾病 传染性疾病
背景情况:
- 随着COVID-19大流行,胸部CT扫描被广泛用于诊断和管理.
- 关于在此期间在健康人群中偶然发现的甲状腺意外瘤的数据有限.
- 甲状腺偶发性瘤是在其他疾病的成像过程中意外检测到的病变.
研究的目的:
- 为了确定住院COVID-19患者甲状腺意外瘤的患病率.
- 在这个队列中确定与甲状腺意外瘤发生相关的预测因子.
主要方法:
- 一项回顾性研究分析了在2020年4月至2021年10月期间接受胸部CT检查的1326名住院COVID-19患者 (年龄≥15岁).
- 一位经验丰富的放射科医生审查CT扫描以确定甲状腺意外瘤.
- 使用后勤回归分析,找出甲状腺意外瘤的预测因素.
主要成果:
- 在研究的COVID-19患者中,甲状腺附带瘤的患病率为20.2%.
- 患有偶发性瘤的患者年龄大得多 (平均年龄为59.6岁与46.8岁相比),女性患者的发病率更高 (63.4%与53.2%相比).
- 多变量分析证实女性性别 (OR 1.56) 和年龄较大 (OR 1.04) 是独立的预测因素.
结论:
- 在COVID-19患者 (20.2%) 的胸部CT中发现的甲状腺附带瘤的患病率高于以前在一般人群中报告的患病率.
- 女性性别和老年是与甲状腺意外瘤相关的重要独立因素.
- COVID-19患者的胸部CT经常显示甲状腺附带瘤,强调考虑这些发现的重要性.
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