CAJ | 학술논문

目的：探讨高频彩超对健康体检人群甲状腺疾病的筛查价值。方法统计分析在该院行甲状腺高频彩超体检的1413例受检者甲状腺疾病的检出情况。结果1413例受检者中，检出588例患各类甲状腺疾病，阳性率高达41．61％，且随年龄的增加而逐步增长。其中，男239例，阳性率30．72％；女349例，阳性率54．96％，女性的甲状腺疾病阳性率明显高于男性。588例阳性病例中，高频彩超检查拟诊甲状腺弥漫性病变111例，甲状腺结节488例，最后经手术病理证实甲状腺癌20例，男3例，女17例。其中病灶小于1．0 cm的微小癌12例，最小者约6 mm ×5 mm。结论高频彩超检查对诊断甲状腺疾病特别是甲状腺癌的早发现具有重要意义，应作为健康体检的常规检查项目。
목적：탐토고빈채초대건강체검인군갑상선질병적사사개치。방법통계분석재해원행갑상선고빈채초체검적1413례수검자갑상선질병적검출정황。결과1413례수검자중，검출588례환각류갑상선질병，양성솔고체41．61％，차수년령적증가이축보증장。기중，남239례，양성솔30．72％；녀349례，양성솔54．96％，녀성적갑상선질병양성솔명현고우남성。588례양성병례중，고빈채초검사의진갑상선미만성병변111례，갑상선결절488례，최후경수술병리증실갑상선암20례，남3례，녀17례。기중병조소우1．0 cm적미소암12례，최소자약6 mm ×5 mm。결론고빈채초검사대진단갑상선질병특별시갑상선암적조발현구유중요의의，응작위건강체검적상규검사항목。
Objective To investigate the value of high frequency color doppler ultrasound for screening thyroid diseases in physi-cal examination people .Methods The detectable information of thyroid diseases using high frequency color doppler ultrasound in 1 413 physical examination people was analyzed .Results A total of 588 cases of the 1 413 people were detected to have thyroid dis-eases with positive rate of 41 .61% ,and the detectable rate increased with aging .The positive rate of female (349 cases ,54 .96% ) was statistically higher than that of male(239 cases ,30 .72% ) .Within the 588 people ,111 cases were diagnosed as diffused thyroid diseases and 488 cases were diagnosed as thyroid nodules by high frequency color doppler ultrasound .Twenty cases were confirmed to have thyroid carcinoma by pathologic examination ,with 3 males and 17 females .Twelve lesions were less than 1 .0 cm in diameter and were diagnosed as microcarcinoma .The smallest lesion was 6 mm × 5 mm .Conclusion The high frequency color doppler ultra-sound was useful in screening for thyroid diseases ,especially for carcinoma ,and should be used as routine examination item .