CAJ | 학술논문

目的探讨在健康体检中应用甲状腺彩色超声检查,提高甲状腺结节及癌的检出率.方法分析北京协和医院职工查体最近6年的甲状腺检查资料,以既往5年外科触诊甲状腺检查结果为对照,比较2011年增加了甲状腺彩色超声检查后甲状腺结节及甲状腺癌的检出情况.结果 2006-2010年5年间职工查体6348人次.检出甲状腺结节450人次,检出率7.09％；手术病理证实为甲状腺癌24例,年均甲状腺癌检出率0.38％.2011年职工查体1706人次.增加了甲状腺彩色超声检查后,总体(外科+彩色超声)检出甲状腺结节525人次,检出率30.77％.高度可疑甲状腺癌建议手术者22例,病理证实甲状腺癌18例,甲状腺良性病变4例,甲状腺癌检出率1.06％.组间比较有统计学意义.结论甲状腺超声检查提升了甲状腺结节检出和诊断.在健康体检中综合分析彩色超声征象,形态不规则、细小钙化、血运丰富者应警惕甲状腺癌.
목적 탐토재건강체검중응용갑상선채색초성검사,제고갑상선결절급암적검출솔.방법 분석북경협화의원직공사체최근6년적갑상선검사자료,이기왕5년외과촉진갑상선검사결과위대조,비교2011년증가료갑상선채색초성검사후갑상선결절급갑상선암적검출정황.결과 2006-2010년5년간직공사체6348인차.검출갑상선결절450인차,검출솔7.09％；수술병리증실위갑상선암24례,년균갑상선암검출솔0.38％.2011년직공사체1706인차.증가료갑상선채색초성검사후,총체(외과+채색초성)검출갑상선결절525인차,검출솔30.77％.고도가의갑상선암건의수술자22례,병리증실갑상선암18례,갑상선량성병변4례,갑상선암검출솔1.06％.조간비교유통계학의의.결론 갑상선초성검사제승료갑상선결절검출화진단.재건강체검중종합분석채색초성정상,형태불규칙、세소개화、혈운봉부자응경척갑상선암.
Objective To study the effectiveness of ultrasonography in thyroidnodule disease detection and malignant/benign lesion differentiation during health check-up.Method Thyroid examination data of Peking Union Medical College Hospital(PUMCH)staff over the last 6 years were retrospectively reviewed.The results of thyroidnodule scanning by using ultrasonography were compared with the findings of physical examinations.Results Among 6348 health check-up receivers from 2006 to 2010,450 were found to have thyroidnodule(detection rate 7.09％).Twenty malignant lesions were confirmed in histological examinations(mean detection rate per year 0.38％).In 2011,1706 thyroid glands were scanned by both physical examination and ultrasonography,and 525 thyroidnodules were identified(detection rate 30.77％).Surgical operations were performed for 22 suspected malignant tumors,and 18 malignant lesions were finally confirmed(detection rate 1.06％).Conclusion Ultrasonography can improve the detection of thyroidnodule.Irregular shape,microcalcification,and rich blood-flow may indicate malignant nodules.