上海外高桥地区体检人群甲状腺结节的发病特点

发布时间：2018-06-29 11:26

本文选题：甲状腺结节 + 甲状腺B超　；参考：《广东医学》2017年S1期

【摘要】：目的了解上海外高桥地区体检人群中甲状腺结节的发病情况及特点。方法采用分层整群随机抽样的横断面调查方法对2 389例个体甲状腺超声结果进行了分析,按年龄段分组对结节的检出率、结节大小及是否多发进行比较,并对同时行甲状腺功能检测的人群logistic回归分析,探讨甲状腺结节的发生与甲状腺功能各指标的关系。结果 2 389例研究对象,平均年龄(41.22±11)岁,结节检出率34.87%,随年龄增长结节检出率增加,其中女性结节检出率为42.3%,明显高于男性(32.6%);甲状腺结节患者中,单发结节比例为50.3%,多发结节比例为49.7%,随年龄增大发生多发结节比例逐渐增加;甲状腺结节患者中,小结节(直径1.0 cm)所占比例为87.8%,明显高于大结节(直径1.0 cm)所占比例(12.2%);对1 352例同时进行甲状腺功能检查的患者,logistic回归分析显示,三碘甲状腺原氨酸、甲状腺素、游离三碘甲状腺原氨酸、游离甲状腺素、促甲状腺素与甲状腺结节的发生无关。结论随年龄的增长,甲状腺结节、多发结节的检出率均升高。甲状腺结节的发生与甲状腺功能是否异常无关,年龄和性别是其发生的独立影响因素。
[Abstract]:Objective to investigate the incidence and characteristics of thyroid nodules in physical examination population in Waigaoqiao area, Shanghai. Methods the results of thyroid ultrasound in 2 389 individuals were analyzed by stratified cluster random sampling. The detection rate, size and frequency of nodules were compared according to age group. The relationship between thyroid nodule and thyroid function was studied by logistic regression analysis. Results the average age of 2 389 subjects was (41.22 卤11) years old. The detection rate of nodules increased with age. The detection rate of nodules in women was 42.3%, which was significantly higher than that in men (32.6%). The proportion of single nodules and multiple nodules was 50.3% and 49.7% respectively. The proportion of multiple nodules gradually increased with the increase of age. The proportion of small nodules (1.0 cm in diameter) was 87.8, which was significantly higher than that of large nodules (1.0 cm in diameter) (12.2%). Free triiodothyronine, free thyroxine and thyrotropin were not associated with thyroid nodule. Conclusion the detection rate of thyroid nodules and multiple nodules increased with age. The occurrence of thyroid nodule is not related to the abnormal thyroid function. Age and sex are independent factors influencing the occurrence of thyroid nodule.
【作者单位】：上海市外高桥保税区医疗保健中心检验科;
【分类号】：R581

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