海军飞行人员甲状腺结节检出情况及脂代谢相关因素分析  

Detection of thyroid nodules and factors related to lipid metabolism in naval pilots

作　　者：宋双 黄峰 孙国栋 吴敏 范茂丹 张舜 斯银平 任停停 周磊 SONG Shuang;HUANG Feng;SUN Guodong;WU Min;FAN Maodan;ZHANG Shun;SI Yinping;REN Tingting;ZHOU Lei(Third Department of Recuperation,Third Sanatorium for Special Servicemen of Air Force in Hangzhou,Hangzhou 310002;Third Sanatorium for Special Servicemen of Air Force in Hangzhou,Hangzhou 310002;Internal Medicine Department,Third Sanatorium for Special Servicemen of Air Force in Hangzhou,Hangzhou 310002;Hangzhou Ninth Rest Center Health Center of Zhejiang Provincial Military Region,Hangzhou 310002;Second Department of Recuperation,Third Sanatorium for Special Servicemen of Air Force in Hangzhou,Hangzhou 310002;First Department of Recuperation,Third Sanatorium for Special Servicemen of Air Force in Hangzhou,Hangzhou 310002,China)

机构地区：[1]空军杭州特勤疗养中心疗养三区疗养三科,杭州310002 [2]空军杭州特勤疗养中心疗养三区,杭州310002 [3]空军杭州特勤疗养中心疗养三区内科,杭州310002 [4]浙江省军区杭州第九干休所卫生所,杭州310002 [5]空军杭州特勤疗养中心疗养三区疗养二科,杭州310002 [6]空军杭州特勤疗养中心疗养三区疗养一科,杭州310002

出　　处：《空军航空医学》2025年第1期16-19,共4页AVIATION MEDICINE OF AIR FORCE

基　　金：浙江省杭州市科技拥军项目(20210133X04)。

摘　　要：目的分析探讨海军飞行人员甲状腺结节(thyroid nodule,TN)的检出情况,以及脂代谢相关影响因素。方法回顾性分析2019年6月—2021年12月空军杭州特勤疗养中心疗养三区疗养的945名海军飞行人员甲状腺超声检查结果,比较TN组和非TN组间的一般资料、血脂指标差异。分析不同年龄海军飞行人员TN患病分布情况,血脂水平与罹患TN及甲状腺影像报告和数据系统(thyroid imaging-reporting and data system,TI-RADS)分类的相关性。结果甲状腺结节检出率31.64%,TN组年龄高于非TN组(t=3.332,P<0.05),其中不同年龄TN检出率差异有统计学意义(χ^(2)=21.196,P<0.01)。TN组与非TN组的血脂相关指标差异无统计学意义(P均>0.05)。不同血脂水平组中,甲状腺结节分类占比均以TI-RADS 3类为主。结论应重视军事飞行人员TN的筛查,加强对合并血脂异常的恶性高风险结节的跟踪随访工作,早期明确结节性质,实现甲状腺癌的早发现、早诊断、早治疗。Objective To find out about the incidence of thyroid nodules(TN)in naval pilots as well as factors related to lipid metabolism.Methods The results of thyroid ultrasound examination of naval pilots who had recuperated at our sanatorium between June 2019 and December 2021 were retrospectively analyzed to collect data and study the differences in blood lipid indicators between the TN group and the non-TN group.The distribution of TNs across naval pilots of different ages was analyzed while the correlations between blood lipid levels and the classification of TNs and the thyroid imaging reporting and data system(TI-RADS)were investigated.Results A total of 945 naval pilots were included in this study,with a thyroid nodule detection rate of 31.64%.The TN group was older than the non-TN group(t=3.332,P<0.05),there was a statistically significant difference in detection rates among different age groups(χ~2=21.196,P<0.01).There was no statistically significant difference in blood lipid related indicators between the TN group and the non-TN group(P>0.05).In groups with different blood lipid levels,the proportion of thyroid nodules classified was mostly TI-RADS 3.Conclusion Clinicians should attach importance to the screening of TNs in military pilots,keep track of malignant high-risk nodules with combined lipid abnormalities,clarify the nature of nodules early,and ensure early detection,diagnosis,and treatment of thyroid cancer.

关 键 词：甲状腺结节 甲状腺超声 脂代谢 危险因素 检出率 飞行人员 

分 类 号：R581.9[医药卫生—内分泌]