214例患者的甲状腺病理分型情况分析

An Analysis of Thyroid Pathological Classification of 214 Sufferers

目的:了解江苏省昆山市2015—2017年甲状腺疾病的病理分型情况及影响因素。方法:收集2015—2017年昆山市某二级医院病理科甲状腺病理资料,进行描述性流行病学分析。通过χ^2检验,比较不同年份、不同年龄段等甲状腺疾病的性别构成、病理类型分布的差异。结果:214例病例中,男女比例为1∶2.75,患者年龄集中在30~69岁段;不同年份、不同年龄段甲状腺疾病的性别构成差异均无统计学意义(均P>0.05)。病理分型显示:良性腺瘤115例(53.7%)、乳头状癌73例(34.1%)、结节10例(4.7%)、甲状腺炎9例(4.2%)及囊肿7例(3.3%),不同年龄段的甲状腺病理类型分布差异无统计学意义(χ^2=28.19,P=0.105)。结论:昆山市甲状腺疾病病理分型以良性腺瘤为主,各分型在性别、年龄分布上差异均不明显,应进一步积极探究疾病相关危险因素和预防措施。

Objective:To realize the pathological classification and influencing factors of thyroid diseases from 2015 to 2017 in Kunshan,Jiangsu Province.Methods:Collected the pathological data of thyroid from 2015 to 2017 in a secondary hospital in Kunshan,descriptive epidemiological analysis.By using chi-square,compare the sex composition or the distribution of pathological types of thyroid diseases in different years or different age groups.Results:In the 216 pathological data,the male-female ratio was 1∶2.75,the age of patients was concentrated at 30~69.During different years and age,the sex composition of thyroid diseases had no statistical significance(all P >0.05).Pathological classification showed there were 115 cases(53.7%)of benign adenoma,73 cases (34.1%)of papillary carcinoma,10 cases(4.7%) of thyroid nodule,9 cases (4.2%)of thyroiditis and 7 cases(3.3%)of thyroid cyst.The distribution of thyroid pathology types had no statistical significance at different ages(χ^2=28.19, P =0.105).Conclusion:The pathological types of thyroid diseases in Kunshan city were mainly benign adenomas,and there was no significant difference in sex and age distribution of each type.The disease-related risk factors and preventive measures should be further explored.