甲状腺超声异常与尿碘的关系

The Study on the Relationship between the Abnormal Thyroid Ultrasound and Urinary Iodine

目的探讨甲状腺超声异常与尿碘的关系。方法选取2018年5月至2019年4月在昆明市第一人民医院内分泌科门诊就诊患者及体检中心体检的340例人群,按尿碘水平分层,比较甲状腺超声异常检出率。结果碘缺乏组超声异常检出率最高(84.3%),与碘适量,碘过量组分别比较,差异均有统计学意义(P<0.01);但碘适量,碘过量组之间比较,超声异常检出率无统计学差异(P>0.05)。结论在碘缺乏人群中,甲状腺超声异常检出率最高,提示碘缺乏可导致甲状腺结节患病率增高。

Objective To investigate the relationship between the abnormal thyroid ultrasound and urinary iodine.Methods A total of 340 patients from the Department of Endocrinology and Physical Examination Center of the First People's Hospital of Kunming were selected from May 2018 to April 2019 and the detection rate of thyroid ultrasound abnormalities was compared according to the level of urinary iodine.Result Abnormal ultrasonic detection rate of the iodine deficiency group was highest(84.3%)and the difference was statistically significant compared with the moderate iodine group and excessive iodine group(P<0.01);However,there was no significant difference in the detection rate of ultrasound abnormalities between the iodine moderate and iodine excess groups(P>0.05).Conclusion In people with iodine deficiency,the abnormal thyroid ultrasound detection rate is highest,which indicates that iodine deficiency can lead to an increase in the prevalence of thyroid nodules.