[超声波成年甲状腺体积的正常值 - 它们来自哪里,应该如何评估?]
Philipp Seifert1, Falk Gühne1, Robert Drescher1
1Klinik für Nuklearmedizin, Universitätsklinikum Jena, Jena, Germany.
Laryngo- rhino- otologie
|October 9, 2023
概括
这篇评论质疑标准成年甲状腺体体积限制 (18毫升女性,25毫升男性) 的普遍应用. 它检查了这些值的来源和影响甲状腺大小的因素在临床实践中.
科学领域:
- 内分泌学 在内分泌学.
- 放射学 放射学是一门学科.
- 内部医学 内部医学
背景情况:
- 成人甲状腺体体积的确定的参考值为女性18毫升,男性25毫升.
- 这些价值观在临床实践和医学教育中得到广泛采用.
- 甲状腺体积被认为是患者治疗和管理的重要因素.
研究的目的:
- 批判性地审查成人甲状腺体体积的常用参考值的科学基础和来源.
- 为了调查建立这些甲状腺大小上限的研究.
- 评估这些上限作为临床环境中的通用标准的适用性,并探索影响因素.
主要方法:
- 对建立甲状腺体体积参考范围的研究进行文献综述.
- 对所研究的方法和人群进行批判性分析.
- 检查影响甲状腺大小的生理和临床因素.
主要成果:
- 目前标准的甲状腺体体积参考值 (18毫升女性,25毫升男性) 的起源并没有被强大的大规模研究清楚地定义.
- 由于年龄,性别,BMI和地理位置等因素,报告的甲状腺体体积存在显著的变化.
- 现有的参考值可能无法在不同人群中普遍适用.
结论:
- 目前成人甲状腺体体积的上限需要重新评估,因为缺乏强有力的证据和可能存在人口特异性的变化.
- 甲状腺体积的临床解释应考虑超出既定普遍标准的个体患者因素.
- 需要进行进一步的研究,以建立更准确和特定于人口的甲状腺体体积参考范围.
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