2498例体检者甲状腺超声检出异常情况分析

2498 cases of abnormal thyroid ultrasonography analysis

目的:探讨近五年体检人群甲状腺超声异常检出情况及其相关因素,为甲状腺疾病防控提供依据。方法:对2498例体检者甲状腺超声检查,进行不同年龄和性别的甲状腺异常分析,找出危险因素。结果:甲状腺检出异常1101例,检出率为44.08%,女性高于男性,且均随年龄增长而增加。甲状腺异常呈结节性病变、弥漫性病变和弥漫并结节性病变,结节性病变中多结节高于单结节,其中疑似甲状腺癌4例,恶性结节12例,检出率分别为0.39%、1.16%。结论:近五年体检人群中甲状腺疾病检出率较高,建议将甲状腺超声检查列为常规体检项目,这对甲状腺疾病防控具有重要意义。

Objective： To investigate abnormal thyroid ultrasonography and related factors in past five years, which would provide evidence for prevention and control of thyroid disease. Methods： According to different age and gender, 2498 cases with thyroid ultrasonography were analyzed risk factors for abnormal thyroid. Results： 1101 cases with abnormal thyroid were detected（44.08%）, which was higher in women than in men and increased with age. Abnormal thyroid included nodular lesions, diffuse lesions, diffuse and nodular lesions, in which multiple nodules were more than a single nodule. 4 cases with suspected thyroid cancer（0.39%） and 12 cases with malignant nodules（1.16%）were detected. Conclusion： The detection rate of thyroid disease is higher during physical examination in past five years. Thyroid ultrasonography should become routine physical examination, which is important for prevention and control of thyroid disease.