三甲医院医务人员甲状腺超声特征分析

Analysis of thyroid ultrasonic characteristics of medical staff

目的了解医护人员健康体检时甲状腺结节和甲状腺弥漫性病变的检出率情况。方法分析2020年9至11月在西部战区总医院体检中心进行健康体检的2634名医务人员的甲状腺超声检查结果,剔除既往有甲状腺手术史者23名,共2611名纳入研究,其中男性1109例,女性1502例,年龄为15~99岁,平均(39.6±17.0)岁。根据年龄分为<36岁(n=1494)、36~45岁(n=557)、46~55岁(n=252)、56~65岁(n=88)、>65岁(n=220)组,分析不同年龄不同性别受检者甲状腺结节的检出率及性质和甲状腺弥漫性病变的检出情况。结果2611名医务人员中,共检出甲状腺结节患者582例(22.29%),其中男性290例、女性292例。男性甲状腺结节检出率显著高于女性(26.15%vs 19.44%,P<0.001)。<36岁组女性甲状腺结节检出率高于男性(13.62%vs 7.82%,P=0.002)。甲状腺结节检出率随年龄增长而升高,其中,>65岁组检出率最高(63.18%,139/220)。不同年龄组男、女性疑似恶性结节检出率差异无统计学意义。甲状腺弥漫性病变共73例,检出率2.80%,其中男性17例、女性56例,女性检出率显著高于男性(3.73%vs 1.53%,P<0.001)。小于36岁组中,女性甲状腺结节合并甲状腺弥漫性病变检出率高于男性(1.21%vs 0,P<0.05)。结论年轻女性是甲状腺结节和甲状腺弥漫性病变的高危人群,对于这类人群,应加强甲状腺疾病筛查。

Objective To investigate the prevalence of thyroid nodules and diffuse thyroid lesions in medical staff.Methods A total of 2634 medical staff who had thyroid ultrasound examination in the Health Screening Center of the General Hospital of Western Theater from September to November 2020 were included.Afetr twenty-three subjects with previous thyroid surgery history were excluded,a total of 2611 subjects were included in the study,including 1109 males and 1502 females,aged 15-99 years,with an average age of(39.6±17.0)years.According to the age,the subjects were divided into<36 years old(n=1494),36-45 years old(n=557),46-55 years old(n=252),56-65 years old(n=88),and>65 years old(n=220)groups.The detection rates and quality of thyroid nodules in different age and sex subjects were analyzed,and the incidence of diffuse thyroid lesions was analyzed.Results A total of 582 thyroid nodule patients were diagnosed in 2611 medical staff,including 290 males and 292 females.The detection rate of thyroid nodule in men was significantly higher than that in women(26.15%vs 19.44%,P<0.001).In<36 years old group,the detection rate of thyroid nodule in females was significantly higher than that in males(13.62%vs 7.82%,P=0.002).The incidence of thyroid nodule increased with age,and it was was highest with 63.18%in the>65 years old group.There was no significant difference in the detection rate of suspected malignant nodule between male and female in different age groups.There were 73 cases of diffuse thyroid disease patients,the total detection rate was 2.80%,including 17 males,56 females.The detection rate of diffuse thyroid disease in females was significantly higher than that in males(3.73%vs 1.53%,P<0.001).In the age lower than 36 years old group,the detection rate of thyroid nodule with diffuse thyroid lesion in females was significantly higher than that in males(1.21%vs 0,P<0.05).Conclusion The incidence of thyroid nodule and diffuse thyroid lesion is higher in the young women,and the screening of thyroid disease should be strengthen in the young women.