CAJ | 학술논문

目的：调查长三角地区健康人群甲状腺患病情况，同时探讨高频彩超在健康人群甲状腺结节的筛查价值。方法应用高频彩超检查长三角地区近3年来南京军区杭州疗养院体检的健康人群的甲状腺，对检查结果进行统计学分析，然后选取来自沿海城市(上海市)和内陆城市(宣城市)的体检者，并对他们的甲状腺结节的患病情况进行统计学分析。结果选择甲状腺彩超检查项目的人数逐年增加；通过对近3年来甲状腺结节的筛查得出，长三角地区甲状腺结节的总检出率为33%左右。甲状腺结节的检出率随着年龄增加逐渐上升，20～50岁年龄段女性甲状腺结节的检出率明显高于男性，50～60岁男性女性基本持平，大于60岁后男性检出率高于女性；从整体年龄段看男女患病率基本持平。沿海城市甲状腺结节的检出率明显高于内陆城市。结论长三角地区人群中甲状腺结节患病率较高，应将甲状腺超声检查列为常规体检项目；沿海城市甲状腺结节的发病率明显高于内陆城市，高碘饮食对甲状腺结节的影响应当受到重视，科学、合理的补碘显得尤为重要。
목적：조사장삼각지구건강인군갑상선환병정황，동시탐토고빈채초재건강인군갑상선결절적사사개치。방법응용고빈채초검사장삼각지구근3년래남경군구항주요양원체검적건강인군적갑상선，대검사결과진행통계학분석，연후선취래자연해성시(상해시)화내륙성시(선성시)적체검자，병대타문적갑상선결절적환병정황진행통계학분석。결과선택갑상선채초검사항목적인수축년증가；통과대근3년래갑상선결절적사사득출，장삼각지구갑상선결절적총검출솔위33%좌우。갑상선결절적검출솔수착년령증가축점상승，20～50세년령단녀성갑상선결절적검출솔명현고우남성，50～60세남성녀성기본지평，대우60세후남성검출솔고우녀성；종정체년령단간남녀환병솔기본지평。연해성시갑상선결절적검출솔명현고우내륙성시。결론장삼각지구인군중갑상선결절환병솔교고，응장갑상선초성검사렬위상규체검항목；연해성시갑상선결절적발병솔명현고우내륙성시，고전음식대갑상선결절적영향응당수도중시，과학、합리적보전현득우위중요。
Objective To investigate the prevalence of thyroid am ong the healthy population in Yangtze River Delta Area,and to explore the value of high-frequency color Doppler in screening for thyroid nodules am ong healthy popula-tion .Methods High-frequency color Doppler w as adopted to check the thyroid in healthy population in Yangtze River Delta Area com ing to our sanatorium for health exam ination in our hospital in recent three years,and the results w ere statistically analyzed,then the subjects from a coastal city(Shanghai city) and an inland city(X uancheng city) w ere col-lected to conduct a statistical analysis of the prevalence of thyroid nodule am ong them .Results The num ber of choos-ing color Doppler ultrasound exam ination for thyroid has increased year by year;through the screening for thyroid nod-ules in recent three years,it w as found that the total detection rate of thyroid nodules in the Yangtze River Delta Area w as about 33% .Thyroid nodule detection rate increased w ith gradual rising of age,the detection rate of thyroid nodules am ong fem ales of 20~50 years old w as significantly higher than that in m ales.The detection rate of thyroid nodules a-m ong m ales and fem ales of 50~60 years old basically held the line.The detection rate of thyroid nodules am ong m ales over 60 years old w as higher than that am ong the fem ales.G enerally,the detection rate betw een m ales and fe-m ales of different age groups held the line.The detection rate of thyroid nodules in coastal cities w as significantly high-er than that in inland cities.Conclusion The detection rate of thyroid nodules am ong population in Yangtze River Delta Area is very high ,and thyroid ultrasound should be listed as a routine exam ination item .The detection rate of thyroid nodules in coastal cities is significantly higher than that in inland cities.The effect of high iodine diet on thy-roid nodules should be em phasized ,and scientific and reasonable iodine supplem entation is particularly im portant.