新疆哈密地区铁路职工甲状腺结节患病状况调查

目的了解甲状腺结节的患病状况及结节特征。方法对10 301例既往无甲状腺疾病史的体检人员进行甲状腺超声检查,分析甲状腺结节的患病特征。结果成人甲状腺结节的检出率为21.32%,女性检出率为26.95%,男性检出率为18.09%,女性检出率高于男性,差异均具有统计学意义(P<0.05);随着年龄的增长,检出率呈上升趋势,差异具有统计学意义(P<0.01)。甲状腺结节大小以直径≤9mm的小结节为主,占75.82%。结节数目以单发结节为主,占64.71%,随年龄增加,大结节及多发结节所占比例增加。甲状腺结节部位以单侧居多,但60～69岁及>70岁组,结节部位以双侧为主。结节的性质以实性为主。结论成人甲状腺结节检出率较高,且女性高于男性,结节检出率随年龄增长而增加,应重视甲状腺结节的早期发现、处理以及随访。

Prevalence survey of thyroid nodules screening of railway workers in Xinjiang Hami district

Objective To assess the incidence and features of thyroid nodules among population.Methods A total of 10 301 people without a history of thyroid disease were enrolled in this study.Thyroid ultrasonography was performed in all subjects.The features of thyroid nodules were analyzed.Results The findings showed that prevalence of thyroid nodules was 21.32% among population.Prevalence in females and males was 26.95% and 18.09%.The rate was higher in female than in male(P<0.05),and increased with age(P<0.01).Most nodules were smaller than 9 mm(75.82%).The number of nodules were mainly single nodule(64.71%).Multiple nodules and large nodules were increased with age.The location of nodules were mainly one side.But in 60～69 years and >70 years groups,the nodules parts were in both sides.The echo structure of nodules was solid.Conclusion The prevalence of thyroid nodules is high with the rate of 21.32%.Thyroid nodules are more prevalent in females than males,and increases with age.Which should be paid more attention in early find and treatment and follow-up.