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目的了解某企业医院在职员工甲状腺结节的患病情况,分析其流行病学特点。方法应用高频彩超对医院在职员工进行甲状腺超声检查。结果 1243例受检者中有490例检出甲状腺结节,患病率为39.4%。其中女372例,男118例。女性患病率明显高于男性(P<0.01)。女性各年龄段的患病率也明显高于同年龄段男性(P均<0.05)。50岁之前,随年龄增长,结节患病率呈显著上升趋势。男性和女性的结节大小及类型比较,差异无统计学意义(P均>0.05),单发结节及小结节比率高。490例甲状腺结节患者中发现甲状腺癌8例,均经术后病理证实。结论某企业医院员工甲状腺结节患病率较高,应引起高度重视,高频彩超对甲状腺结节,尤其对甲状腺癌的筛查具有重要意义,甲状腺超声检查应列为常规检查项目。
Objective To understand the prevalence of thyroid nodules among employees in a hospital and analyze its epidemiological characteristics. Methods High-frequency color Doppler ultrasound was used to examine thyroid ultrasound in hospital staff. Results Of the 1243 subjects, 490 had thyroid nodules detected, with a prevalence of 39.4%. Among them, 372 were female and 118 were male. The prevalence of women was significantly higher than that of men (P <0.01). The prevalence rates of women in all age groups were also significantly higher than those in the same age group (all P <0.05). Before the age of 50, with age, the prevalence of nodules showed a significant upward trend. There was no significant difference in the size and type of nodules between males and females (P> 0.05). The rates of solitary nodules and nodules were high. 490 cases of thyroid nodules were found in 8 cases of thyroid cancer, confirmed by pathology. Conclusion The prevalence of thyroid nodules in a hospital of a certain enterprise is high and should be given high priority. High-frequency color Doppler ultrasound is of great importance for the screening of thyroid nodules, especially for thyroid cancer. Thyroid ultrasonography should be listed as a routine examination item.