健康体检中高频超声对早期甲状腺癌筛查的价值分析  

Value of high frequency ultrasonography in the public screening for thyroid cancer

作　　者：左京华[1] 秦德兴[1] 

机构地区：[1]中国医学科学院肿瘤医院防癌科,北京100021

出　　处：《中华肿瘤防治杂志》2006年第13期1019-1020,共2页Chinese Journal of Cancer Prevention and Treatment

摘　　要：为了探讨在健康体检中如何早期发现甲状腺癌,对健康体检人员首先进行甲状腺的物理触诊检查,再进行超声波检查。1 171例体检人员,触诊检查发现甲状腺结节93例,检出率7.9%(93/1 171),超声检查发现甲状腺占位病变198例,检出率16.9%(198/1 171),其中1例为可疑癌。两者检出率差异有统计学意义,χ2=43.03,P=0.000 0。初步研究结果提示,健康体检中应用高频超声对甲状腺肿瘤的早期发现具有重要意义,应作为健康体检的常规检查项目。The objective of this study was to explore the ways of finding thyroid cancer at early stage in public screen. The subject to be examined receives a clinical physical examination palpation of the neck. Then, the subject is given high frequency ultrasonography. Among 1 171 normal healthy population, 93 subjects were found to have goitres in the thyroid by palpation, whereas 198 subjects were found to contain space occupying lesion in the thyroid by ultrasonography among which one lesion was suspected to be thyroid cancer. The difference therein was statistically significant （7.9%-93/1 171 vs 16.9%-198/1 171）. The results showed that high frequency Ultrasonography, being able to sensitively discover thyroid nodules, is an important tool both clinically and cancer prevention. It should be listed as a routine procedure in public screening of the normal population.

关 键 词：甲状腺肿瘤/超声检查 体格检查 回顾性研究 

分 类 号：R736.1[医药卫生—肿瘤]