在2013-2024年期间,初级甲状腺功能障碍症的临床特征趋势
Yuansi Chen1, Junhe Wang1, Shuo Li1
1Department of Endocrinology and Metabolism, Tianjin Medical University General Hospital, Tianjin, China, tjmugh.com.cn.
International journal of endocrinology
|January 9, 2026
概括
在中国,原发性偏甲状腺症 (PHPT) 的临床特征正在发生变化,随着时间的推移,观察到更多无症状病例和更轻微的症状. 这一趋势表明,在中国人口中,PHPT的早期检测和管理正在转变.
科学领域:
- 内分泌学 在内分泌学.
- 在瘤学瘤学.
- 公共卫生 公共卫生
背景情况:
- 初级甲状腺功能障碍症 (PHPT) 在不同地区呈现不同,中国的大规模数据有限.
- 了解中国PHPT不断发展的临床模式对于公共卫生至关重要.
- 最近PHPT呈现的变化需要更新的临床见解.
研究的目的:
- 描述中国患者中原发性偏甲状腺症 (PHPT) 临床特征的变化.
- 分析近十年来PHPT表现和病理学的趋势.
主要方法:
- 在2013年至2024年期间诊断出685名PHPT患者的回顾性分析.
- 根据时间段,症状和病理发现分组患者.
- 临床特征,生化标志物和骨矿物质密度在子组之间进行了比较.
主要成果:
- 从2013-2018年到2019-2024年,观察到无症状PHPT病例的显著增加.
- 无症状患者表现出较轻微的临床表现和较少的并发症.
- 与良性瘤相比,恶性副甲状腺瘤显示PTH,和性酸酶水平显著升高.
结论:
- 在中国,PHPT的临床特征已经演变,其特点是无症状病例增加,症状较轻.
- 这些发现凸显了对PHPT早期诊断和管理的潜在转变.
- 对推动这些变化的因素进行进一步研究是有必要的.
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