烟台山医院1125例健康职工甲状腺结节调查

Screening of thyroid nodules in 1 125 healthy adults of Yantaishan Hospital

目的了解烟台市健康人群甲状腺结节（TN）的患病率，为进一步研究烟台地区TN及甲状腺癌的患病率与病因等提供依据。方法用高频彩色超声行甲状腺普查。结果1125例烟台山医院健康职工中患TN418例，检出率为37．2％。TN的检出率随年龄明显递增；女性健康人群的检出率为40．2％，明显高于男性的检出率23．6％，P〈0．01；检出最小结节为2mm×1mm，多为实性低回声结节及多发结节。13例经手术证实为甲状腺乳头状癌，占受检人数的1．16％。结论烟台山医院健康职工TN的患病率远较国内外报道的高，提示在健康人群中进行TN的普查是十分必要的。

Objective To investigate the prevalence of thyroid nodule（TN） in healthy adults of Yantaisban Hospital. Methods High frequency probe and color Doppler ultrasonography were applied to TN screening in 1 125 employees of Yantaishan Hospital. Results In the 1 125 adults of Yantaishan Hospital, 418 were found to have TN, accounting for 37.2% of all employees. TN incidence increased with age. Thyroid nodule detection rate in female was higher than that in male （40. 2% in females and 23.6% in male）. The magnitude of the minimum nodule was 2 mm × 1 mm in size. 13 cases of TN were proved to be thyroid carcinoma, consisting 1.16% of all adults examined. Conclusion The incidence of TN and thyroid carcinoma in Yantaishan Hospital is higher than that reported in other areas, indicating the necessity of carrying out TN screening among the healthy population.