江苏社区人群甲状腺结节的流行病学研究
강소사구인군갑상선결절적류행병학연구
Epidemiologic study on thyroid nodules in community population of Jiangsu
  • 万方数据
    中华内分泌代谢杂志 중화내분비대사잡지
    CHINESE JOURNAL OF ENDOCRINOLOGY AND METABOLISM
    2011年 6期 492-494 ,共3页

    冯尚勇%朱妍%张真稳%段宇%刘晓云%王晓东%唐伟%茅晓东%徐书杭%冯雨%刘翠萍%覃又文%沈洪兵%喻荣彬%卜瑞芳%陈军建%李伟%史泽民%胡旭%刘超

    풍상용%주연%장진은%단우%류효운%왕효동%당위%모효동%서서항%풍우%류취평%담우문%침홍병%유영빈%복서방%진군건%리위%사택민%호욱%류초

    社区人群%甲状腺结节%流行病学调查 社區人群%甲狀腺結節%流行病學調查
    사구인군%갑상선결절%류행병학조사
    Community population%Thyroid nodules%Epidemiologic studies
    采用逐级分层整群抽样抽取江苏地区城乡6层样本,调查对象为20岁以上的常住(≥5年)居民6 128人进行甲状腺超声检查及甲状腺功能检测,应用7.5 MHz/50 mm探头B超诊断仪进行甲状腺超声检查,记录甲状腺结节部位、直径、数量、回声、边界、钙化等.采用固相化学发光酶免疫分析法(ICMA法)检测促甲状腺素(TSH),对于TSH在正常范围外的人群,检测游离三碘甲状腺原氨酸(FT3)和游离甲状腺激素(FT4).调查对象甲状腺结节的粗患病率为21.12%、标化患病率为15.69%;男性和女性的粗患病率为14.55%和25.24%,标化患病率为11.20%和20.40%(P＜0.05).以单发结节和直径＜1.0 cm的结节为主,不同年龄段甲状腺结节直径＜1.0 cm和≥1.0 cm构成比之间的差异无统计学意义(P＞0.05),而不同年龄段单发结节和多发结节构成比之间的差异有统计学意义(P＜0.05).江苏地区社区人群的甲状腺结节的患病率较高,加强对其随访和早期诊治有重要意义.
    채용축급분층정군추양추취강소지구성향6층양본,조사대상위20세이상적상주(≥5년)거민6 128인진행갑상선초성검사급갑상선공능검측,응용7.5 MHz/50 mm탐두B초진단의진행갑상선초성검사,기록갑상선결절부위、직경、수량、회성、변계、개화등.채용고상화학발광매면역분석법(ICMA법)검측촉갑상선소(TSH),대우TSH재정상범위외적인군,검측유리삼전갑상선원안산(FT3)화유리갑상선격소(FT4).조사대상갑상선결절적조환병솔위21.12%、표화환병솔위15.69%;남성화녀성적조환병솔위14.55%화25.24%,표화환병솔위11.20%화20.40%(P＜0.05).이단발결절화직경＜1.0 cm적결절위주,불동년령단갑상선결절직경＜1.0 cm화≥1.0 cm구성비지간적차이무통계학의의(P＞0.05),이불동년령단단발결절화다발결절구성비지간적차이유통계학의의(P＜0.05).강소지구사구인군적갑상선결절적환병솔교고,가강대기수방화조기진치유중요의의.
    The residents who had lived for at least 5 years and aged over 20 years old were sampled from urban to rural districts of Jiangsu Province with a stratified cluster sampling technique. B mode ultrasonography and thyroid function determination were carried out in 6 128 persons. The location, diameter, number, boundary, and calcification in thyroid nodules were described by using 7.5 MHz/50 mm transducer of thyroid ultrasonography. TSH was measured by chemiluminescence immunoassay. Free triiodothyronine(FT3)and free thyroxin(FT4)were measured when TSH was abnormal. The crude prevalence of thyroid nodules was 21.12% in total population, 14.55% in male, and 25.24% in female. The standardized prevalence was 15.69%, 11.20%, and 20.40%, respectively. The prevalence was lower in male than in female, and increased with age(P＜0.05). Thyroid nodules in Jiangsu Province were highly prevalent and more attention should be paid to the follow-up, early diagnosis, and treatment.
    원문보기 원문다운로드 사이트로이동
저자의 최근 논문