116例维、汉甲状腺疾病临床病理分析  

Clinicopathologic analysis of 116 cases of Uygur and Han with thyroid diseases

作　　者：夏米西努尔.伊力克 尼加提.热合木 马琦[1] 阿布力孜.阿布杜拉 王新星[4] 

机构地区：[1]新疆医科大学基础医学院生物学教研室,新疆乌鲁木齐830011 [2]新疆医科大学病理教研室及第一附属医院病理科 [3]新疆医科大学新疆地方病分子生物学实验室 [4]新疆医科大学基础医学院解剖学教研室,新疆乌鲁木齐830011

出　　处：《新疆医科大学学报》2009年第6期709-710,713,共3页Journal of Xinjiang Medical University

基　　金：国家自然基金(30860275);新疆医科大学2008年度科研创新基金(2008-20)

摘　　要：目的:探讨新疆维、汉两民族中甲状腺疾病的发病趋势。方法:回顾性分析新疆医科大学第一附属医院2005年1月～2007年4月来收集的116例维、汉甲状腺疾病患者的临床病理资料。结果:汉族74例(63.82%),维吾尔族42例(36.18%)。患者女性发病率为男性3.3倍。女性50岁以下发病率为92.13%,而男性为33.33%。男性发病年龄高峰为60～69岁,女性为30～59岁。79例(68.10%)为良性肿瘤及肿瘤样病变,37例(31.90%)为甲状腺癌。良性肿瘤及肿瘤样病变中结节性甲状腺肿49例(62.02%),腺瘤23例(29.11%),桥本甲状腺炎5例(6.33%),亚急性甲状腺炎和乳头状增生各1例(1.27%)。甲状腺癌各分型病理学分析发现乳头状腺癌26例(70.27%),其次滤泡癌7例(18.92%),未分化和癌髓样癌各2例(5.41%)。女性发病率及发病年龄早于男性,女性患者主要是中青年。组织学类型以甲状腺肿的比例最高,其次为甲状腺癌,腺瘤的发病率较低,甲状腺炎最少。乳头状癌占甲状腺癌的比例大。维、汉两个民族甲状腺癌的发病率无显著性差异(P>0.05)。结论:提示新疆维、汉甲状腺疾病的发病率有上升趋势。Objective： To study the incidence trend of patients in Uygur and Han nationality with thyroid diseases in Xinjiang from 2004 to 2007. Methods：A retrospective analyze of 116 cases with thyroid diseases in 3 years, the cases were diagnosed by pathology. Results： The incidence of thyroid diseases increased. Han nationality had 74 cases （63.82%）, Uygur had 42 （36.18%）. For the incidence ratio female was 3.3 times of male. The incidence of female under 50 was 92.13%, and 33.33% in those in males. The high rate of age on the carcinoma of male was 60-69, and female was 30-59. 79 cases （68.10%） were benign, 37cases （31. 90%） were thyroid carcinoma. Among the benign eases, nodular goiter was 49 cases （62.02%）, Adenomas was 23 cases （29.11%）, Hashimoto thyroiditis occured in 5 cases （6.33%）,Subacute thyroid and Papillary hyperplasia occured in 1 case （1.27%） respectively The cases and incidence of papillary thyroid carcinoma accounted for 26 cases （70.27%）, while follicular were 7 cases（18.92%）, anplastic carcinoma and medullary were 2 cases （5.41%） respectively. The incidence of female was higher than male, also thyroid cancer took place mostly in young and middle-aged female. The incidence rate of thyroid diseases from high to low： nodular goiter, thyroid cancer, Adenomas and Hashimoto thyroiditis. The incidence of the thyroid carcinoma was no significant differences in Uygur and Han nationality （P〉0.05）. Conclusion： Thyroid diseases have increased in Xinjiang over the last 3 years.

关 键 词：甲状腺疾病 病理分析 发病率 

分 类 号：R581[医药卫生—内分泌] R361[医药卫生—内科学]