• 제목/요약/키워드: Thyroid function

검색결과 268건 처리시간 0.03초

심박변이도를 이용한 갑상선 기능과 스트레스의 상관관계 연구 (A Study on the Relationship with Thyroid Function and Stress using Heart Rate Variability)

  • 김수민;예수영
    • 한국방사선학회논문지
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    • 제16권5호
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    • pp.545-551
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    • 2022
  • 본 연구는 심박변이도(HRV) 신호를 통해 산출된 스트레스 측정치와 갑상선 기능 검사(TFT) 항목 간의 상관관계를 분석하였다. K 의원에 내원한 질병이 없는 건강한 성인 181명을 연구대상으로 하였다. 획득한 심박변이도(HRV) 신호를 이용하여 스트레스 저항도(SR)와 스트레스 지수(SI)를 산출하였으며 갑상선 기능검사(TFT) 항목으로는 TSH, Free T4, T3를 이용하였다. 측정된 값은 pearson 상관분석을 통해 각 항목 간의 관계를 통계 분석 하였다. 결과에서 Free T4와 스트레스 저항도(SR)는 양의 상관관계(r=0.18)를, 스트레스지수(SI)와는 음의 상관관계(r=-0.16)를 가졌음을 확인하였다. 이를 통해 갑상선 기능과 HRV 신호 간에 유의한 관계가 있음을 확인하였다.

양성 갑상샘 결절의 수술적 치료에서 결절절제술의 임상적 의의 (Clinical Significance of Nodulectomy in Surgical Treatment of Benign Thyroid Nodules)

  • 이동우;김상효
    • 대한두경부종양학회지
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    • 제22권2호
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    • pp.137-141
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    • 2006
  • Purpose : It has been generally accepted that lobectomy is a standard surgical procedure in treatment of benign thyroid nodules. However lobectomy may cause postoperative hypothyroidism. Most of surgeons believe that nodulectomy has its limitation in treatment of thyroid nodules due to recurrence of nodules and presence of cancer. The current study attempts to determine whether nodulectomy is justified in aspects of preservation of thyroid function, risk of recurrence and complications. Methods: Data was collected retrospectively on 74 patients undergoing thyroidectomy(single nodulectomy, n=43;bilateral nodulectomies, n=9;lobectomy with nodulectomy, n=22) for benign thyroid nodules from 1999 to 2004. All patients were evaluated for complication, postoperative thyroid function, and recurrence of benign nodule and cancer were followed by regular ultrasonographic examination for 2-6 years. Results : The pathologic results of 74 patients were nodular hyperplasia(55 patients), Hashimoto's thyroiditis(8 patients), follicular adenoma(7 patients) and papillary carcinoma(4 patients). Average operation time was 30 minutes from skin incision to specimen out. In postoperative follow-up of 70 patients, six cases(8.5%) became mild hypothyroid, and ultrasonographically detected micronodule was also six cases(8.5%). There were no other complications. Conclusion : Thyroid nodulectomy appears to have advantages of relatively few complication and simple procedure with no access to laryngeal nerves. Therefore, it may be one of treatment options in selected cases of benign thyroid nodules.

갑상선암 환자에서 전절제술 후 I-131 치료에서 미만성 간침착 정도의 분석 (Analysis of Diffuse Hepatic Visualization after Iodine-131 Treatment in Patients with Thyroid Carcinoma)

  • 정진형;배금석;강성준
    • 대한두경부종양학회지
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    • 제16권2호
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    • pp.206-211
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    • 2000
  • Objectives: Any uptake of I-131 after total thyroidectomy means the remant thyroid tissue or distant metastasis of the thyroid cancer. However diffuse hepatic uptake of I-131 without abnormal uptake was showen in many cases on I-131 whole body scan. The aim of this study was to classify the liver uptake after I-131 scan and to evaluate the analysis of this finding. Materials and Methods: Between 1982 and 1998, 104 patients(l4 males, 90 females) with normal liver function underwent I-131 scan after total thyroidectomy. Prospectively we reviewed the films of the whole body scan and analysed the correlations between results of radioiodine uptake, pathologic diagnosis, prognostic factors, lymphatic metastasis, and thyroid function test. Result: Diffuse hepatic uptake was found in 44 of 104(42%) patients. 10 of 39(26%) patients on I-131 100mCi, and 34 of 63(54%) on I-131 150mCi showed hepatic uptake. 52 of 104(50%) patients was locally invasive thyroid cancer. The rate of the hepatic uptake was no significant differences with the thyroid hormone levels(T3, Free T4) and thyroglobulin between uptake group and non-uptake group. Conclusion: The rate of I-131 uptake was high in high-dose radioiodine treatment group. However, we can not find any correlation among the thyroid functions, the extent of metastasis or the extent of local invasion. We need further study to find out the causes of the hepatic uptake of I-131 after total thyroidectomy, besides liver metabolism of I-131 attached thyroid hormones.

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갑상선 기능항진증이 동반된 미분화 갑상선암 1예 (A Case of Anaplastic Thyroid Cancer Presenting with Hyperthyroidism)

  • 이효상;정웅윤;강혜윤;박정수
    • 대한두경부종양학회지
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    • 제17권1호
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    • pp.56-58
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    • 2001
  • Anaplastic thyroid carcinoma, which is one of the most aggressive tumors of the thyroid, has been seldomly reposted to have altered thyroid function. There have been few reports of patients with anaplastic thyroid cancer presenting in a hyperthyroid state. In the literatures, the mechanism of hyperthyroidism in anaplastic thyroid cancer is supposed that the rapid invasive growth of cancer seems to cause destruction of thyroid tissue and develops a hyperthyroid state, which is thought to be anlalogous to that of subacute thyroiditis and several types of metastatic cancer of the thyroid: rapid tissue necrosis with resultant release of thyroid hormone. Recently, we experienced a case of anaplastic thyroid cancer presenting with rapid growing mass and hyperthyroidism in a 67-year-old woman and report it with the review of the literatures.

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방사성요오드 치료전 갑상선유두암 환자의 인지기능 (Cognitive Function of Thyroid Papillary Carcinoma Patients Before Radioiodine Therapy)

  • 김현석;전진숙;김민수;최영식;오병훈
    • 정신신체의학
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    • 제21권2호
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    • pp.132-139
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    • 2013
  • 연구목적 본 연구는 갑상선암 환자에서 인지장애의 발생 빈도와 이에 관계되는 변인을 규명하기 위하여 시행되었다. 방 법 갑상선암으로 진단받고 갑상선전절제술 받은 지 6~12개월 후, 방사성요오드 잔여갑상선제거술을 받기 위해서 입원한 환자 42명을 대상으로 개인력, 병력조사와 우울지수 및 인지기능(Korean Version of the Montreal Cognitive Assessment, 이하 MoCA-K)의 평가를 시행하였다. 결 과 1) 대상 환자 중 MoCA-K 총점이 22점 이하인 환자는 21명(50.0%)이었다. 2) 나이, 교육수준, 방사성 요오드 치료 전 갑상선자극호르몬 농도는 MoCA-K 총점 23점 이상군과 MoCA-K 총점 22점 이하군 간에 통계적으로 유의한 차이가 있었다. 3) MoCA-K 총점과 통계적으로 유의한 연관성이 있는 변인은 나이, 교육수준, 병행질환, 방사성 요오드 치료 전 갑상선자극호르몬 농도, HDRS-17 총점이었다. 결 론 갑상선절제술 후 방사성 요오드 치료를 받기 전 갑상선암 환자에서 인지장애는 50%에서 있었다. 추후, 치료과정의 갑상선암에서 인지장애의 기전을 규명하기 위한 연구가 더 필요하며, 치료 과정의 환자에서 인지장애의 인식과 예방 대책이 요구된다.

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Quetiapine 치료 중 발생한 무증상 갑상선 기능저하증 1례 (Subclinical Hypothyroidism during Quetiapine Treatment : A Case Report)

  • 나경세;김용구
    • 생물정신의학
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    • 제14권1호
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    • pp.68-71
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    • 2007
  • Quetiapine is an atypical antipsychotic drug with a benign side effect profile. However, recent studies have reported that thyroid dysfunction is associated with quetiapine treatment. The authors report a patient with DSM-IV bipolar I disorder who developed subclinical hypothyroidism during quetiapine treatment. The patient showed no significant clinical symptoms, but only abnormal thyroid function test findings including antithyroglobulin antibody. The abnormal thyroid function test findings were normalized after discontinuation of quetiapine. The subclinical hypothyroidism developed during quetiapine treatment may be associated with autoimmune process.

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미숙아에서의 갑상선기능 장애 (Thyroid dysfunction in premature infants)

  • 홍기배;박지윤;장영표;유지숙
    • Clinical and Experimental Pediatrics
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    • 제52권9호
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    • pp.991-998
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    • 2009
  • 목 적 : 갑상선호르몬은 소아에서 뇌의 발달에 매우 중요한 호르몬이므로 갑상선기능이상에 대한 조기진단 및 치료는 중요하다. 미숙아에서는 이러한 갑상선의 기능이상이 만삭아에 비해 많이 발생한다. 본 연구의 목적은 미숙아에서의 갑상선기능이상의 빈도, 임상양상 및 경과 등을 알아보고자 하였다. 방 법 : 1999년 4월에서 2008년 8월까지 단국대학교병원 신생아중환자실에 입원한 37주 미만의 미숙아 802명 중 초기 갑상선기능검사의 결과를 확인 할 수 있었던 599명의 환아를 대상으로 의무기록을 통해 후향적으로 연구하였다. 1, 2차 검사의 결과에 따라 정상군, 일차성 갑상선기능저하증군, 고갑상선자극호르몬혈증군, 저티록신혈증군, 지연된 일차성 갑상선기능저하증군, 지연된 고갑상선자극호르몬혈증군의 6군으로 나누었다. 각 군 간의 임상특징, APGAR 점수 및 여러 위험인자들, 검사결과 등을 비교하였고 갑상선기능이상의 빈도 및 경과, 위험요소 등을 분석하였다. 결 과 : 599명중 1차 갑상선기능이상을 보인 환아는 136명(23%)이었고 저티록신혈증이 20%로 가장 많았다. 처음 NST는 정상이었으나 생후 3-4주경 2차 검사를 시행한 46명 중 8명(17%)에서 갑상상선기능이상을 보였다. 갑상선호르몬은 총 10명에서 투여되었고, 9명에서는 호전을 보여 중단이 가능하였다. 1명은 이소성 갑상선으로 지속적인 복용이 필요한 상태이다. 결 론 : 미숙아에서 갑상선기능 이상은 매우 흔하였고, 대부분 일시적이었다. 때로는 초기 검사에서 정상이었다가 뒤늦은 이상을 보일 수 있으므로 미숙아의 경우 특히 33주 미만 또는 2,500 g 미만의 경우 처음 검사가 정상이더라도 3-4주경에 재검하는 것은 필요하다고 생각한다.

각종(各種) 갑상선질환(甲狀腺疾患)에서의 혈중(血中) $T_3$방사면역측정(放射免疫測定)의 진단적(診斷的) 의의(意義) (The Clinical Significance of Serum Triiodothyronine Measured by Radioimmunoassay in Various Thyroid Diseases)

  • 이현우;고창순;이문호
    • 대한핵의학회지
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    • 제9권1호
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    • pp.31-43
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    • 1975
  • In an attempt to establish the diagnostic value of serum triiodothyronine and to correlate it with pathophysiologic mechanisms of thyroid hormones in various thyroid disorders, the author measured the serum triiodothyronine levels by means of radioimmunoassay and compared them with other thyroid function tests. This study was carried out in 152 cases with various thyroid functions; 28 cases as control, 51 cases of hyperthyroidism, 50 cases of euthyroidism and 23 cases of hypothyroidism. The results obtained were as follows: 1. The serum $T_3$ level in normal control group ranged between $131{\pm}34ng/dl$. 2. The serum $T_3$ levels ranged between $306{\pm}97ng/dl$ in hyperthyroidism $138{\pm}32ng/dl$ in euthyroidism and $60{\pm}27ng/dl$ in hypothyroidism. The significant differences between these groups were noted in this study. 3. In 5(9.9%) out of 51 cases with hyperthyoidism and 9(39.1%) of 23 cases with hypothyroidism, the serum $T_3$ were measured to be in normal range. Accordingly, the diagnostic value of the measurement of serum $T_3$ with hyperthyroidism was justifiable, but with hypothyroidism, it was less creditable than that of serum thyrotropin. 4. There was little significant difference between the diagnostic value of serum thyroxine and triiodthyronine levels in various thyroid disorders. However, $T_4/T_3$ ratio was decreased in patients with untreated hyperthyroidism because of more elevation of $T_3\;than\;T_4$. Consequently, the serum $T_3$ was more sensitive than $T_3$ in some thyroid disorders. 5. The serum $T_3$ level was much more sensitive and showed prompt shift in its level during the course of treatment on the patient with various thyroid disorders. And the measurement of serum $T_3$ was a good index for the evaluation of the thyroid function. From these results obtained, the measurement of serum $T_3$ by means of radioimmunoassay is a good way to understand the status of thyroid function with various thyroid disorders and evaluate the effects of the treatment given on these patients.

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각종(各種) 갑상선질환(甲狀腺疾患)의 $^{99m}Tc$-pertechnetate 갑상선섭취(甲狀腺攝取)에 관(關)한 연구(硏究) (A Study on $^{99m}Tc$-pertechnetate thyroid uptake in various thyroid diseases)

  • 최성재;민혜숙;고창순;이문호
    • 대한핵의학회지
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    • 제8권1_2호
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    • pp.29-37
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    • 1974
  • The $^{99m}Tc$-pertechnetate thyroid uptake rates(20 min) were measured in 24 healthy normal subjects, 140 patients with nontoxic goiter and 98 patients with thyrotoxicosis who were treated at the Thyroid Clinic, Seoul National University Hospital, from August 1972 to August 1973. Diagnostic reliabilities and correlations between $^{99m}TcO_4$-thyroid uptake rate (20 min) and other thyroid function tests were evaluated. The observed results were as follows 1. The $^{99m}TcO_4$-thyroid uptake rates (20 min) in normal subjects, euthyroid group and hyperthyroid group were $4.1{\pm}0.9%,\;5.2{\pm}1.8%\;and\;29.7{\pm}10.6%$. There was a significant difference between the mean of the euthyroid group and the mean of the hyperthyroid group and so differentiation between them can be easy. 2. In the diagnosis of hyperthyroidism, the reliabilities of $^{99m}TcO_4$- thyroid uptake rate(20 min), $^{131}I$ thyroid uptake rate(24hrs), serum $T_3$ resin uptake rate, serum $T_4\;and\;T_7\;were\;87.9{\sim}97.9%,\;81.2{\sim}94.4%,\;87.9{\sim}97.9%,\;90.5{\sim}99.3%\;and\;93.7{\sim}100%$. $^{99m}TcO_4$-thyroid uptake rate(20 min) is more accurate than $^{131}I$ thyroid uptake rate (24 hrs) in the diagnosis of hyperthyroidism. 3. $^{99m}TcO_4$-thyroid uptake rate (20 min) was well correlated with $^{131}I$ thyroid uptake rate (24 hrs), serum $T_3$ resin uptake rate, serum $T_4\;and\;T_7$. Points in favor of $^{99m}Tc$ are that it gives a small radiation dose to the thyroid, that tests can be repeated at the short interval, the study can be completed at a single patient visit and it is particularly well suited for the assessment of thyroid function in patients being treated with an antithyroid drug.

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한국형 출혈열의 임상경과에 따른 갑상선홀몬의 변동 (Thyroid Hormones and Thyroid Function status in each clinical phase of Korean Hemorrhagic Fever)

  • 신영태;전병숙;윤성열;이헌영;김삼용;노흥규
    • 대한핵의학회지
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    • 제17권1호
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    • pp.63-69
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    • 1983
  • Fifteen cases of Korean hemorrhagic fever who were admitted Chungnam National University Hospital from October 1981 to December 1981 were analysed on the evaluation of metabolic.changes of the thyroid hormones, and thyroid function status in each clinical phase. 1. Serum $T_3,\;T_4$ concentratron, $FT_4I\;and\;T_4/TBG$ ratio were significantly lower (p<0.001, p<0.005, p<0.005, p<0.001, respectively) than control group in oliguric and early diuretic phase of Korean hemorrhagic fever. With the recovery of illness, abnormal thyroid hormones and thyroid function indices tend to become normal range. But Serum $FT_4$, TSH and TBG concentration were within normal range in all phase of KHF. Thus in Korean hemorrhagic fever, euthyroidism is probably maintained by normal or elevated serum $FT_4$ 2. $T_4/T_3\;and\;rT_3/T_3$ rato (p<0.005, p<0.005) were increased in oliguric and early diuretic phase of KHF. These results might be explained by decreased peripheral conversion of $T_4\;to\;T_3$ in oliguric and early diuretic phase.

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