健康体检者甲状腺结节的超声检出情况及特征分析  

Detection of thyroid nodule and its characteristics in health check-up people by ultrasonic

作　　者：唐雪梅[1] 顾鹏[1] 刘健[1] 袁红梅[1] 岳文胜[1] 柳弥[2] 毛春[2] Tang Xuemei;Gu Peng;Liu Jian;Yuan Hongmei;Yue Wensheng;Liu Mi;Mao Chun(Department of Ultrasound,Affiliated Hospital of North of Sichuan Medical College,Nanchong 637000,China)

机构地区：[1]川北医学院附属医院超声科,南充637000 [2]川北医学院附属医院健康管理中心,南充637000

出　　处：《实用医学影像杂志》2018年第4期329-331,共3页Journal of Practical Medical Imaging

摘　　要：目的了解体检人群甲状腺结节的检出情况,并分析其患病的影响因素。方法选择2017年1月至3月本院健康体检者1 106名作为研究对象,依据甲状腺超声检查结果,了解受检者患病率,采用t检验比较分析甲状腺结节组与健康组各项体检指标的差异;采用Logistic回归分析探究甲状腺结节的影响因素。结果在此次研究中,1 106名中有结节者355例,检出率为32%,单发结节比例大(53%),实性结节最多发(63%),右侧检出率最高(53%)。各年龄段的检出率有统计学差异(P<0.05),其中41~50岁组检出结节的比例最高(37%)。1 106名中男性615名,女性491名,男、女性检出率分别为38%、27%,男女检出率差异有统计学意义(P<0.05)。与健康组比较,甲状腺结节组的BMI、血压、血糖、总胆固醇水平明显增高,差异有统计学意义(P<0.05)。Logistic回归分析显示高血压、高血脂可能是甲状腺结节的危险因素。结论健康体检中甲状腺结节总检出率偏高,与性别、年龄均有相关性,甲状腺结节以单发结节多见,中年人群所占比例大,要宣传健康体检的重要性,重点人群应把甲状腺超声纳入体检项目,有利于结节的早发现、早诊断、早治疗。Objective To investigate the detection of thyroid nodules in the health people and analyze its influencing factors. Methods A total of 1 106 people receiving health examination in our hospital from January 2017 to March 2017 were included in this survey.According to the results of thyroid ultrasonic detection,the prevalence of thyroid nodule was calculated. The differences in health examination results between thyroid nodule group and nonthyroid nodule group were compared with t test. Logistic regression analysis was conducted to identify the risk factors related to the prevalence of thyroid nodule. Results Three hundred and fifty-five persons had thyroid nodule in this population 1 106, detection rate was 32%, single nodules accounted for 53%, solid nodules accounted for 63%, had higher detection rate right side（53%）. The detection rate of each age group was statistically different, P0.05, and the proportion of the group of 41~50 years was the highest（37%）. There was 615 male and 491 female in 1 106. The detection rate of male and female was 38% and 27% respectively, and the detection rate of male and female was statistically significant, P0.05. Compared with non-thyroid nodule group, the BMI, blood pressure, blood sugar level and total cholesterol level were significantly higher in thyroid nodule group,the difference was statistical significant（P0.05）.Logistic regression analysis indicated that hypertension and hyperlipidemia might be related factors to thyroid nodule.Conclusion The prevalence of thyroid nodule in healthy people is high, and is relate to sex and age. Thyroid nodules are more common in single nodules and large proportion in middle-aged people. The importance of healthy physical examination should be publicized. The thyroid ultrasound examination project should be included in key populations to achieve early detection、early diagnosis and early treatment of nodules.

关 键 词：甲状腺结节 高频超声 体检 患病率 相关因素 

分 类 号：R445.1[医药卫生—影像医学与核医学] R581[医药卫生—诊断学]