体检人群甲状腺超声检查结果分析  

Thyroid nodules in health check-up population

作　　者：杜颖[1] 陈卫新[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院健康医学部,北京100730

出　　处：《中日友好医院学报》2016年第3期147-149,172,共4页Journal of China-Japan Friendship Hospital

摘　　要：目的：探讨健康体检人群甲状腺结节及甲状腺癌的检出率及变化趋势。方法：选取2009年1月～2013年12月北京协和医院健康医学部34327例行甲状腺超声检查的健康体检者,分析甲状腺结节的检出率及发病特点,对高度怀疑甲状腺癌者建议细针穿刺或手术切除,分析甲状腺癌的检出情况。结果：甲状腺结节人群检出率为45.5%,其中男性41.1%,女性51.3%;结节检出率随着年龄的增长而明显增高。甲状腺癌的检出率为0.24%,男性为0.14%,女性为0.38%。甲状腺结节中甲状腺癌的检出率为0.54%,其中男性0.35%、女性0.75%,31～40岁年龄段女性所有结节中甲状腺癌检出率最高,为1.2%。结论：甲状腺癌在人群中的检出率明显增高,女性尤为明显,需有针对性地采取预防措施。定期健康查体,正确解读甲状腺超声声像图是避免过度治疗的关键。Objective：To investigate the proportion of thyroid nodules and thyroid carcinoma in adults during health check-up.Methods：The thyroid ultrasonography results of 34 327 healthy physical examinees from January 2009 to December 2013 were analyzed retrospectively.Fine needle aspiration or surgical resection had been performed to subjects suspected to have thyroid cancer.Results：The thyroid nodules proportion of was45.5%.It was 41.1% in men and 51.3% in women.The proportion of thyroid increased with age.The thyroid cancer was 0.24%,it was 0.14% in men and 0.38% in women.The proportion of thyroid cancer in thyroid nodules was 0.35% in men and 0.75% in women.Women aged 31-40 years had the highest proportion of thyroid cancer（1.2%）.Conclusion：The thyroid cancer is common especially in women. Understanding features of the ultrasonography is important for further treatment.

关 键 词：甲状腺结节 甲状腺癌 健康体检 

分 类 号：R736.1[医药卫生—肿瘤]