中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2013年
9期
974-975
,共2页
甲状腺肿瘤%危险因素
甲狀腺腫瘤%危險因素
갑상선종류%위험인소
Thyroid neoplams%Risk factors
目的 探讨65岁及以上老年患者中甲状腺乳头状癌致病因素. 方法 784例经彩色超声筛查有甲状腺结节患者按照不同碘摄入量、性别、年龄、饮食习惯、吸烟史及放射治疗史分组,比较不同组间甲状腺乳头状癌检出率,分析甲状腺乳头状癌致病因素. 结果 共检出甲状腺乳头状癌患者55例(7.0％),性别、年龄、碘摄入量、吸烟史及放射治疗史均为甲状腺乳头状癌的危险因素,年龄较大的女性、碘摄入量过高及有放射治疗史的人群为甲状腺乳头状癌易发人群.其中高碘摄入人群中甲状腺乳头状癌检出率22.8％(31/136),高于适碘摄入1.9％(10/517)和低碘摄入10.7％(14/131),差异有统计学意义(x2=75.07,P＜0.01)；老年女性患者中甲状腺乳头状癌检出率为8.0％(49/612),高于老年男性3.5％(6/172),(P＜0.05)；有放射治疗史患者中甲状腺乳头状癌检出率为11.6％(14/121),高于未接受过放射治疗患者6.2％(41/663),差异有统计学意义(P＜0.05).结论 甲状腺乳头状癌的主要危险因素为生活环境、性别、年龄、饮食习惯、吸烟及放射治疗史等,受外界因素影响较多.
目的 探討65歲及以上老年患者中甲狀腺乳頭狀癌緻病因素. 方法 784例經綵色超聲篩查有甲狀腺結節患者按照不同碘攝入量、性彆、年齡、飲食習慣、吸煙史及放射治療史分組,比較不同組間甲狀腺乳頭狀癌檢齣率,分析甲狀腺乳頭狀癌緻病因素. 結果 共檢齣甲狀腺乳頭狀癌患者55例(7.0％),性彆、年齡、碘攝入量、吸煙史及放射治療史均為甲狀腺乳頭狀癌的危險因素,年齡較大的女性、碘攝入量過高及有放射治療史的人群為甲狀腺乳頭狀癌易髮人群.其中高碘攝入人群中甲狀腺乳頭狀癌檢齣率22.8％(31/136),高于適碘攝入1.9％(10/517)和低碘攝入10.7％(14/131),差異有統計學意義(x2=75.07,P＜0.01)；老年女性患者中甲狀腺乳頭狀癌檢齣率為8.0％(49/612),高于老年男性3.5％(6/172),(P＜0.05)；有放射治療史患者中甲狀腺乳頭狀癌檢齣率為11.6％(14/121),高于未接受過放射治療患者6.2％(41/663),差異有統計學意義(P＜0.05).結論 甲狀腺乳頭狀癌的主要危險因素為生活環境、性彆、年齡、飲食習慣、吸煙及放射治療史等,受外界因素影響較多.
목적 탐토65세급이상노년환자중갑상선유두상암치병인소. 방법 784례경채색초성사사유갑상선결절환자안조불동전섭입량、성별、년령、음식습관、흡연사급방사치료사분조,비교불동조간갑상선유두상암검출솔,분석갑상선유두상암치병인소. 결과 공검출갑상선유두상암환자55례(7.0％),성별、년령、전섭입량、흡연사급방사치료사균위갑상선유두상암적위험인소,년령교대적녀성、전섭입량과고급유방사치료사적인군위갑상선유두상암역발인군.기중고전섭입인군중갑상선유두상암검출솔22.8％(31/136),고우괄전섭입1.9％(10/517)화저전섭입10.7％(14/131),차이유통계학의의(x2=75.07,P＜0.01)；노년녀성환자중갑상선유두상암검출솔위8.0％(49/612),고우노년남성3.5％(6/172),(P＜0.05)；유방사치료사환자중갑상선유두상암검출솔위11.6％(14/121),고우미접수과방사치료환자6.2％(41/663),차이유통계학의의(P＜0.05).결론 갑상선유두상암적주요위험인소위생활배경、성별、년령、음식습관、흡연급방사치료사등,수외계인소영향교다.
Objective To study the risk factors for thyroid papillary carcinoma in patients aged over 65 years,and to investigate the etiology of thyroid papillary carcinoma.Methods A total of 784 patients with thyroid nodules screened by ultrasound were grouped according to different iodine intakes,gender,age,diet,smoking history and history of radiation therapy.The incidence of thyroid papillary carcinoma was compared among the different groups.Pathogenic factors for thyroid papillary carcinoma were analyzed.Results 55 patients (7.0％) were diagnosed as thyroid papillary carcinoma among 784 patients.Gender,age,iodine intake,smoking history and history of radiation therapy were the pathogenic factors for papillary thyroid carcinoma.Thyroid papillary carcinoma was common in older women,patients with high-iodine intake and patients with the history of radiation therapy.The incidence of thyroid papillary carcinoma was higher in patients with high iodine intake than with normal-iodine intake or low-iodine intake [22.8％ (31/136) vs.1.9％％ (10/517),10.7％ (14/131),x2 =75.07,P＜0.01].The incidence of thyroid papillary carcinoma was higher in female than in male elderly patients [8.0％ (49/612) vs.3.5％ (6/172),P＜0.05].The incidence of thyroid papillary carcinoma was higher in patients with the history of radiation therapy than without the history of radiation [11.6％ (14/121) vs.6.2％ (41/663),P＜0.05].Conclusions The main risk factors for thyroid papillary carcinoma are living environment,gender,age,diet,smoking history and history of radiation therapy,which are more influenced by external factors.
