306例海军飞行人员甲状腺结节超声特征分析  

Ultrasound characteristics analysis of thyroid nodules in 306 naval flying personnel

作　　者：吴震中 陈向东 丁虹 范茂丹 宋双 黄骏咏 斯银平 龚志华 周磊 Wu Zhenzhong;Chen Xiangdong;Ding Hong;Fan Maodan;Song Shuang;Huang Junyong;Si Yinping;Gong Zhihua;Zhou Lei(Department of Ultrasound,Third Sanatorium of Air Force Healthcare Center for Special Services Hangzhou,Hangzhou 310002,China;Department of Outpatient,Third Sanatorium of Air Force Healthcare Center for Special Services Hangzhou,Hangzhou 310002,China;Second Department,Third Sanatorium of Air Force Healthcare Center for Special Services Hangzhou,Hangzhou 310002,China;Third Department,Third Sanatorium of Air Force Healthcare Center for Special Services Hangzhou,Hangzhou 310002,China)

机构地区：[1]空军杭州特勤疗养中心疗养三区超声特诊科,杭州310002 [2]空军杭州特勤疗养中心疗养三区门诊,杭州310002 [3]空军杭州特勤疗养中心疗养三区疗养二科,杭州310002 [4]空军杭州特勤疗养中心疗养三区疗养三科,杭州310002

出　　处：《中华航空航天医学杂志》2024年第2期110-114,共5页Chinese Journal of Aerospace Medicine

基　　金：杭州市科技攻关项目(20210133X04)。

摘　　要：目的分析海军飞行人员甲状腺结节发病特征,为该人群甲状腺结节的健康管理提供依据。方法选取2019年1月至2021年12月在空军杭州特勤疗养中心疗养三区健康大体检中检出甲状腺结节的306例海军飞行人员作为研究对象。按照年龄分为20~29、30~39和≥40岁组;按照飞行时间分为<3000、≥3000 h组;按照机种分为直升机、运输机和歼击机组。回顾性分析甲状腺结节超声声像图特点,比较不同年龄、飞行时间、机种飞行人员甲状腺结节的大小、数量和中国甲状腺影像报告和数据系统(Chinese-thyroid imaging reporting and data system,C-TIRADS)分类。结果共306例飞行人员检出甲状腺结节,其中小结节(直径<1 cm)280例(91.50%)、大结节(直径≥1 cm)26例(8.50%);单发结节151例(49.35%)、多发结节155例(50.65%);C-TIRADS分类2类结节135例(44.12%)、3类结节158例(51.63%)、4类结节13例(4.25%)。不同年龄组的飞行人员甲状腺结节大小、数量及分类构成比差异均有统计学意义(χ^(2)=8.86、5.94、46.20,P=0.013、0.051、<0.001);不同飞行时间组飞行人员甲状腺结节大小、分类构成比差异有统计学意义(χ^(2)=16.91、24.35,P均<0.001),≥3000 h组的C-TIRADS 4类结节占比较<3000 h组高,差异有统计学意义(χ^(2)=4.77,P=0.029);不同机种飞行人员甲状腺结节大小、数量及分类构成比差异均无统计学意义(P均>0.05)。结论年龄对飞行人员甲状腺结节大小、数量及分类构成比均有影响,飞行时间对甲状腺结节大小、分类构成比有影响。科学系统的跟踪随访机制有助于评估甲状腺癌发病风险,为及时干预提供早期预警。Objective To provide references for the health management of thyroid nodules in naval flying personnel by analyzing the ultrasound characteristics of naval flying personnel with thyroid nodules.Methods A total of 306 naval flying personnel,who were diagnosed as thyroid nodules in yearly health examination in the Third Sanatorium of Air Force Healthcare Center for Special Services Hangzhou from January of 2019 to December of 2021,were selected as the research subjects.They were divided into 3 groups by age(20-29 years,30-39 years,≥40 years),2 groups by flying hours(<3000 h,≥3000 h)and 3 groups by aircraft types(helicopter,transporter,fighter).The characteristics of thyroid nodule ultrasound images were retrospectively analyzed and the size,quantity and classification which defined in Chinese-thyroid imaging reporting and data system(C-TIRADS)of thyroid nodule were compared among the groups of different ages,flying hours,and aircraft types.Results Among 306 naval flying personnel with thyroid noedules,280 cases(91.50%)were small nodules(diameter<1 cm),26 cases(8.50%)were large nodules(diameter≥1 cm).One hundred and fifty-one cases(49.35%)were single nodules and 155 cases(50.65%)were multiple nodules.There were 135 cases(44.12%)with C-TIRADS grade 2 thyroid nodules,158 cases(51.63%)with C-TIRADS grade 3 nodules,and 13 cases(4.25%)with C-TIRADS grade 4 nodules.There were significant differences in the size,number,classification of composition ratio of thyroid nodules among different age groups(χ^(2)=8.86,5.94,46.20,P=0.013,0.051,<0.001).There were significant differences in the size and classification of composition ratio of thyroid nodules between different flying hours groups(χ^(2)=16.91,24.35,both P<0.001).The proportion of C-TIRADS grade 4 nodules in the flying hours≥3000 h group was higher than that in the<3000 h group,with a significant difference(χ^(2)=4.77,P=0.029).There were no significant differences in the size,number,classification of composition ratio of thyroid nodules among different aircraf

关 键 词：甲状腺结节 超声检查 中国甲状腺影像报告和数据系统 飞行人员 

分 类 号：R856.5[医药卫生—航空、航天与航海医学] R445.1[医药卫生—临床医学]