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对乳头甲状腺癌的风险因素的分析以及与甲状腺功能指标的关联
Jianning Liu1,2, Zhuoying Feng3, Ru Gao1,2
1Center for Endemic Disease Control, Chinese Center for Disease Control and Prevention, Harbin Medical University, Harbin, Heilongjiang, China.
Frontiers in endocrinology
|September 17, 2024
概括
尿中度 (UIC) 可以预测乳头甲状腺癌 (PTC). 甲状腺刺激激素 (TSH) 水平显示PTC的诊断价值,与BMI和UIC相关.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 乳头甲状腺癌 (PTC) 是最常见的甲状腺癌类型.
- 了解PTC的风险因素和诊断标记对于早期检测和管理至关重要.
研究的目的:
- 调查乳头甲状腺癌 (PTC) 与包括体重指数 (BMI),甲状腺刺激激素 (TSH) 水平和尿度 (UIC) 在内的因素之间的关系.
- 为了评估TSH水平对PTC的诊断价值.
主要方法:
- 在PTC患者和对照人群之间进行比较分析.
- 二元逻辑回归和拉索回归用于风险因素识别.
- 斯皮尔曼的等级相关性用于评估关系.
- 接收器操作特征 (ROC) 曲线分析用于TSH的诊断价值评估.
主要成果:
- 与对照组相比,PTC患者的BMI和TSH水平显著更高.
- 尿中度 (UIC) 被确定为PTC的独立预测因子.
- TSH水平证明了PTC的诊断效用,最佳值为2.4mIU/L (AUC=67.3%).
- TSH水平与BMI和UIC有正相关性.
结论:
- 尿液中度 (UIC) 可能作为乳头甲状腺癌 (PTC) 的独立预测因子.
- 甲状腺刺激激素 (TSH) 水平在识别PTC时具有诊断价值.
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