426例甲状腺结节的临床回顾性分析  

Retrospective analysis of 426 patients with thyroid nodules

作　　者：王文超[1] 杨丽[1] 张春霞[1] 

机构地区：[1]北京市顺义区医院普外二科,北京101300

出　　处：《中国当代医药》2016年第8期46-48,共3页China Modern Medicine

摘　　要：目的 探讨与甲状腺结节良、恶性鉴别相关的临床因素。方法 回顾性分析2009年1月-2014年10月北京市顺义区医院收治的426例甲状腺结节患者的临床资料。结果 本组资料中,良性病变382例（89.67%）,恶性病变44例（10.33%）;单因素分析结果：患者为男性、年龄≤20岁、位于右叶的病灶及伴钙化的甲状腺结节恶性可能性大（P0.05）;多因素分析结果：患者为男性、年龄≤20岁、位于右叶的病灶及伴钙化者患甲状腺恶性肿瘤的可能性大（P〈0.05）。结论 患者性别、年龄、病灶位置及是否伴钙化对甲状腺结节病变性质的鉴别具有重要临床意义。Objective To investigate the relationship between the clinical factors and the character of the thyroid nodules. Methods The clinical data of 426 patients with thyroid nodules who were treated in Shunyi Hospital were retrospectively analyzed. Results In this study,382 cases （89.67%） were benign and 44 cases （10.33%） were malignant.Univariate analysis：The possibility of suffering thyroid cancer increased when the patient with thyroid nodules was male, younger than 20 years of age, the nodules located in the right lobe,or when the patient was accompanied by calcification （P〈0.05）.The level of thyroid stimulating hormone was not correlated with diagnosis of benign and malignant lesions of the nodules （P〉0.05）.Muhivariate analysis：The patient with thyroid nodules was male,younger than 20 years of age,the nodules located in the right lobe,or when the patient was accompanied by calcification had a higher chance of suffering from thyroid cancer. Conclusion For the patient presenting with thyroid nodules,the sex and the age of patient,the locations of the thyroid nodules and the accompanying by calcification have important clinical significance in diagnosis of benign and malignant lesions of thyroid nodules.

关 键 词：甲状腺结节 良性 恶性 钙化 

分 类 号：R736.1[医药卫生—肿瘤]