摘要
目的通过回顾性分析探讨四川地区体检人群甲状腺结节患病情况及结节临床特点。方法选取2015年1月至2015年12月在四川省人民医院健康体检中心体检人员共14566人,采用甲状腺彩超进行甲状腺结节检查,比较不同年龄、性别甲状腺结节检出率差异。分析甲状腺结节数量、大小、部位特点,甲状腺结节发生影响因素。结果共检出甲状腺结节者5180例,总检出率35.6%;其中男2545例,女2635例,20岁以上各年龄组甲状腺结节检出率女性均高于男性(P均<0.05)。男女甲状腺结节检出率均随年龄增长而增加,趋势性卡方检验结果差异有统计学意义(均P<0.001)。女性多发结节检出率高于男性,中结节、大结节比率均高于男性,差异有统计学意义(P<0.001)。外科查体触诊甲状腺结节总检出率5.6%。多因素logistic分析显示,性别、年龄、超重、肥胖、高血压病史是甲状腺结节发生的危险因素(P均<0.05)。结论健康体检人群中甲状腺结节检出率偏高,女性、年龄、超重或肥胖、高血压病史是甲状腺结节的危险因素。
Objective To retrospectively investigate the prevalence and clinic characteristics of thyroid nodules（ TN） in health check-up population of Sichuan province.Methods A total of 14,566 individuals who had a health check-up in our center from January 2015 to December 2015 were enrolled in this study.The TN was detected by thyroid ultrasound.The detection rate in different ages and genders was compared.The number,size and location of TN as well as influencing factors were analyzed.Results Of the health check population,5180 individuals were found to have TN,thus,the total detection rate was 35. 6%.Of the TN patients,2545 were males and 2635 were females.The detection rates in females over 20 years old were higher than that in males（ P〈0. 05）. TN incidence was increased with age（ all P〈0. 001）.Detection rate of multiple nodules in females was higher than that in males（ P〈0. 001） and proportions of moderate and large nodules in females were also higher than that in males（ P〈0. 001）. The total detection rate of TN by surgical palpation was 5. 6%.Multiple logistic regression analysis showed that gender,age,overweight,obesity and hypertension were risk factors for TN（ all P〈0. 05）. Conclusion The detection rate of TN is higher in healthy population. Female,age,overweight,obesity and hypertension were risk factors for TN.
作者
刘影
LIU ling(Center of Health Physical Examination and Health Management,Sichuan Academy of Medical Sciences ＆ Sichuan Provincial People＇s Hospitai,Chengdu 610072,China)
出处
《实用医院临床杂志》
2018年第4期111-114,共4页
Practical Journal of Clinical Medicine
