超声诊断老年人群甲状腺疾病的价值及病因分析

The Value of Ultrasonography in the Diagnosis of Thyroid Diseases in the Elderly and Etiological Analysis

目的研究老年人群甲状腺疾病使用超声诊断的价值,并总结其病因。方法选取2013年6月—2017年6月来我院进行超声诊断的46例老年甲状腺疾病患者,回顾分析其检查资料。总结患者的患病情况,分析患者的发病原因,并统计超声检查的检出率。对比病理检查结果和超声检查结果的差异。结果病理检查方式最终的检出率是93.48%,甲状腺结节和囊肿、腺瘤的发病率较高,分别为26.09%、23.91%、17.39%。超声检查方式的检出率是89.13%,与病理结果差异无统计学意义,P>0.05。女性的发病率较高,随着年龄的增高,该疾病的发病率越来越高。结论甲状腺疾病女性的发病率较高,且高龄人群发病风险更大,使用超声检查和病理鉴别的检出率相近,临床价值相似,可以根据情况合理选择;且超声检查的方式简单快捷,可以作为首选进行推广,必要时再综合多种诊断方式。

Objective To study the value of ultrasound in the diagnosis of thyroid diseases in the elderly and to summarize the causes. Methods 46 cases of senile thyroid diseases were selected from June 2013 to June 2017 in our hospital. The data of the examination were reviewed and analyzed. The patient＇s condition was summarized, the cause of the patient was analyzed, and the detection rate of ultrasonic examination was counted. The difference between the results of the pathological examination and the results of ultrasound examination was compared. Results The final detection rate of pathological examination was 93.48%. The incidence of thyroid nodules and cysts and adenomas was 26.09%, 23.91% and 17.39%, respectively. The detection rate of ultrasonic examination was 89.13%, which was close to the pathological results, and the similarity was very high in various diseases. The difference between the two groups was not obvious, P 〉 0.05. The incidence of women was higher, and with the increase of age, the incidence of the disease was getting higher and higher. Conclusion The incidence of thyroid disease in women, the elderly and the risk is greater, the use of ultrasonography and pathological identification of similar detection rate of clinical value of similar, can be reasonably selected according to the situation; and the ultrasound examination way is simple and quick, can be used as the frst choice for promotion, if necessary,multiple diagnostic methods should be used to identify.