健康体检人群甲状腺结节患病情况调查

Prevalence of thyroid nodules in group of people receiving medical examination in Henan Province

目的了解河南省健康体检人群甲状腺结节患病率及结节特征。方法对16 898例既往无甲状腺疾病史的健康体检人群进行甲状腺结节高频超声检查和问卷调查,将其超声检查报告、临床资料进行汇总、统计分析。结果河南省16 898例健康体检人群中,甲状腺结节总患病率为32.54%,女性患病率为38.98%男性患病率为28.23%,女性明显高于男性(χ2=213.933,P<0.01),随年龄的增长,结节的患病率逐渐上升,甲状腺结节以单发为主,占53.08%,结节性质以实性为主,占40.33%,结节部位以双侧为主,占39.99%,甲状腺结节患病率在医护人员及银行工作人员中较高,教师中较低。结论河南人群中甲状腺结节的患病率较高,女性高于男性,结节患病率随年龄增长而增加,甲状腺结节的高危人群应注重定期检查。

Objective To investigate the prevalence and characteristics of thyroid nodules in the group of people receiving medical examination in Henan Province. Methods Included 16 898 adults without thyroid disease in the study. Thyroid ultra- sonography was performed in all subjects ,summarize the clinical data and statistics analysis. Results Among 16 898 people who received medical examination in Henan Province. The prevalence of thyroid nodules was 32. 54%, female was 38. 98%, male was 28. 23%. Thyroid nodules were significantly more common in females than males （ X2 = 213. 933, P 〈 0. 01 ）. Thyroid nodules prevalence increased with age. Uhrasonography revealed that most nodules were solitary（53.08% ）, solid（dO. 33% ）, bilateral（39. 99% ）. Thyroid nodule prevalenee was higher in the medical staff and bank staff,teachers was lower. Conclusion The prevalence of thyroid nodules is high in Henan population, and it is more common in women, nodules prevalence in- creased with age ,high-risk groups should pay attention to regularly examination of thyroid nodule.