甲状腺癌流行病学特征和碘营养关系研究进展  

Epidemiological Characteristics of Thyroid Cancer and its Association with Iodine Nutrition

作　　者：崔玉山[1] 刘洪亮 CUI Yushan;LIU Hongliang

机构地区：[1]天津市疾病预防控制中心环境与健康室,天津市300011 [2]天津市卫生计生综合监督所 [3]天津医科大学公共卫生学院劳动卫生与环境卫生学系

出　　处：《环境卫生学杂志》2020年第2期212-217,共6页JOURNAL OF ENVIRONMENTAL HYGIENE

基　　金：国家自然科学基金面上项目(81573107,81372934)。

摘　　要：近几十年,全球许多国家包括我国甲状腺癌发病率明显上升,尤其是乳头状甲状腺癌,并且女性高发。许多居民误以为"食盐加碘"是导致甲状腺癌高发的原因,对我国碘缺乏防治成果造成影响。本文对甲状腺癌的流行病学特征、发病原因尤其是与碘营养之间的关系进行综述。结果显示虽然甲状腺癌发病率高发,但是死亡率比较稳定,碘缺乏和碘过量都可能是甲状腺癌的危险因素,但是没有证据表明"食盐加碘"可造成甲状腺癌。In recent decades,the incidence rate of thyroid cancer has been increasing significantly in many countries including China,especially papillary thyroid cancer,and women tend to have a higher incidence rate.Many residents mistakenly believe that"salt iodization"is the cause of the high incidence rate of thyroid cancer,which has an impact on the prevention and treatment of iodine deficiency in China.This article reviews the epidemiological characteristics and pathogenesis of thyroid cancer,especially the association between thyroid cancer and iodine nutrition.The results show that although the incidence rate of thyroid cancer is high,the mortality rate remains relatively stable,and both iodine deficiency and excessive iodine may be risk factors for thyroid cancer,but there is no evidence that"salt iodization"can cause thyroid cancer.

关 键 词：甲状腺癌 发病率 死亡率 碘 

分 类 号：R736.1[医药卫生—肿瘤]