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目的:通过对城市地区的健康体检者进行甲状腺超声检查,旨在了解城市居民甲状腺结节患病状况,为相关的防治措施的实施提供一定的依据。方法:选取2011年2月-2014年2月于杭州市西湖区西溪街道社区卫生服务中心进行健康体检且进行甲状腺超声检查的2 639名体检者为研究对象,对所有体检者进行甲状腺超声检查,对不同年龄段的男性和女性的甲状腺结节超声检出情况、甲状腺结节大小和数量超声检查情况、甲状腺结节超声检出患者和正常体检者的甲状腺各径线测定值进行统计和比较。结果:女性体检者甲状腺结节超声检出率高于男性,且差异存在着统计学意义(P<0.05);经χ2检验,男性和女性体检者甲状腺结节超声检出率均随着年龄的增加而呈现增高的趋势(P<0.05);男性和女性甲状腺结节超声检出者的结节大小和结节数量的构成比之间的差异不存在着统计学意义(P<0.05);甲状腺结节超声检出组和正常体检者的甲状腺左叶和甲状腺右叶的左右径、前后径以及甲状腺峡部的前后径存在着差异,且差异存在着统计学意义(P<0.05)。结论:甲状腺超声检查对于甲状腺结节的初步筛选有一定的价值,城市居民甲状腺结节的患病率较高,女性患病率高于男性,且随着年龄的增加患病率增长,应引起我们的重视。
OBJECTIVE: To assess the prevalence of thyroid nodules in urban areas by conducting thyroid ultrasonography on healthy people in urban areas, and to provide some evidences for the implementation of the relevant prevention and treatment measures. Methods: A total of 2 639 physical examinations conducted by the community health service center of Xixi Street Community Health Service Center in Xihu District of Hangzhou City from February 2011 to February 2014 were selected as the research objects. Thyroid ultrasonography was performed on all the subjects, Thyroid nodules in different age groups of men and women were detected by ultrasound, the size and number of thyroid nodules, ultrasound examination, thyroid nodules and ultrasound examination of patients with normal subjects thyroid diameter measurements were statistically compared. Results: The detection rate of thyroid nodules in female was significantly higher than that in males (P <0.05). The chi-square test showed that the detection rates of thyroid nodules in both male and female subjects were different with age (P <0.05). There was no significant difference between the constituent ratios of nodule size and nodule number in thyroid nodules detected by ultrasound in male and female (P <0.05). Thyroid There were significant differences in left and right diameter, anteroposterior diameter and left anterior and posterior diameters of thyroid gland lobe and left lobe of thyroid in nodule ultrasonic examination group and normal control group (P <0.05). CONCLUSIONS: Thyroid ultrasonography has some value for the preliminary screening of thyroid nodules. The prevalence of thyroid nodules in urban residents is higher, the prevalence of female is higher than that of male, and the prevalence increases with age, which should cause Our attention.