甲状腺超声检查在健康体检中的应用价值

Clinical Value of Application of Thyroid Ultrasound in Physical Examination

目的：分析探讨甲状腺超声检查在健康体检中的应用价值。方法本研究选取我院体检中心2013年4月～2016年4月进行健康体检的1235例体检者作为研究对象，所有受试者使用超声诊断仪进行甲状腺检查，并将检查结果进行对比分析。结果1235例体检者中共检出甲状腺异常者96例，甲状腺异常检出率为7.8%；男性甲状腺异常检出率为5.4%（38/704），女性甲状腺异常检出率为10.9%（58/531）；女性甲状腺异常检出率高于男性，差异有统计学意义（χ2=15.56，P＜0.05）。96例甲状腺异常者中单纯性甲状腺结节患者占79.2%（76/96），其中实性结节患者占77.6%（59/76），囊性结节患者占7.9%（6/76），囊实混合型患者占14.5%（11/76）；甲状腺体积肿大、实质回声不均占20.8%（20/96），其中有2例诊断为甲状腺癌并经过手术病理证实。结论超声检查应用于甲状腺检查具有重要价值，可考虑将其作为健康体检的常规项目。

Objective To explore the application value of thyroid ultrasound in physical examination.Methods 1 235 helthy persons from April 2013 to April 2016 were selected and taken thyroid tests by ultrasonic equipment. The results were compared.Results There were 96 cases for thyroid gland dysfunction and the relevance ratio was 7.8%. The relevance ratio in male was 5.4% （38/704） and in female was 10.9% （58/531）. The relevance in female was higher than male and there was statistically signiifcant （χ2=15.56, P〈0.05）. In thyroid gland dysfunction cases, there were 79.2% （76/96） cases of thyroid nodule included 77.6% （59/76） solid nodules, 7.9% （6/76） cystic thyroid nodule and 14.5% （11/76） for complex cystic and solid mass. There was 20.8% （20/96） for the goiter and inhomogeneous echo. 2 cases was diagnosed thyroid cancer by surgical pathology.Conclusion Ultrasound plays an important role in thyroid tests and can be set as a regular project in physical examination.