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甲状腺超声检查在健康体检中的应用价值

Clinical Value of Application of Thyroid Ultrasound in Physical Examination

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【作者】 刘海燕陈洪波

【Author】 LIU Haiyan;CHEN Hongbo;Ultrasonic Department, The People’s Hospital of Guannan County in Jiangsu Province;Department of Thyroid Breast Surgery, The Second Hospital in Nanjing;

【机构】 江苏省灌南县人民医院超声科南京市第二医院甲状腺乳腺外科

【摘要】 目的分析探讨甲状腺超声检查在健康体检中的应用价值。方法本研究选取我院体检中心2013年4月~2016年4月进行健康体检的1 235例体检者作为研究对象,所有受试者使用超声诊断仪进行甲状腺检查,并将检查结果进行对比分析。结果 1 235例体检者中共检出甲状腺异常者96例,甲状腺异常检出率为7.8%;男性甲状腺异常检出率为5.4%(38/704),女性甲状腺异常检出率为10.9%(58/531);女性甲状腺异常检出率高于男性,差异有统计学意义(χ2=15.56,P<0.05)。96例甲状腺异常者中单纯性甲状腺结节患者占79.2%(76/96),其中实性结节患者占77.6%(59/76),囊性结节患者占7.9%(6/76),囊实混合型患者占14.5%(11/76);甲状腺体积肿大、实质回声不均占20.8%(20/96),其中有2例诊断为甲状腺癌并经过手术病理证实。结论超声检查应用于甲状腺检查具有重要价值,可考虑将其作为健康体检的常规项目。

【Abstract】 Objective To explore the application value of thyroid ultrasound in physical examination. Methods 1 235 helthy persons from April 2013 to April 2016 were selected and taken thyroid tests by ultrasonic equipment. The results were compared. Results There were 96 cases for thyroid gland dysfunction and the relevance ratio was 7.8%. The relevance ratio in male was 5.4%(38/704) and in female was 10.9%(58/531). The relevance in female was higher than male and there was statistically significant(χ2=15.56, P<0.05). In thyroid gland dysfunction cases, there were 79.2%(76/96) cases of thyroid nodule included 77.6%(59/76) solid nodules, 7.9%(6/76) cystic thyroid nodule and 14.5%(11/76) for complex cystic and solid mass. There was 20.8%(20/96) for the goiter and inhomogeneous echo. 2 cases was diagnosed thyroid cancer by surgical pathology. Conclusion Ultrasound plays an important role in thyroid tests and can be set as a regular project in physical examination.

【关键词】 健康体检甲状腺疾病超声检查
【Key words】 Physical examinationThyroidDiseaseUltrasound
  • 【文献出处】 中国继续医学教育 ,China Continuing Medical Education , 编辑部邮箱 ,2016年29期
  • 【分类号】R445.1;R581
  • 【下载频次】58
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