CAJ | 학술논문

目的：探讨甲状腺超声诊断在中老年人群健康体检中的应用价值。方法选择2013年12月~2014年12月来大坪医院体检中心进行甲状腺超声检查的中老年人为研究对象，其中符合纳入标准的220例应用美国GE彩色多普勒超声诊断仪进行甲状腺超声诊断，线阵探头，频率7~8 MHz。观察研究对象中甲状腺疾病的患病情况，明确诊断后的患者接受病理诊断。结果220例受检的中老年人中，检出甲状腺异常者96例，阳性率43.6%。50~60岁者41例，检出异常15例(36.6%)；>60~70岁60例，检出异常26例(43.3%)；>70~80岁者52例，检出异常22例(42.3%)；>80~90岁者55例，检出异常22例(40.0%)；>90岁者12例，检出异常11例(91.7%)。统计学结果显示，不同年龄段甲状腺异常检出阳性率差异有统计学意义(P<0.05)。甲状腺96例异常者，甲状腺弥漫性病变共计11例，包括慢性淋巴细胞性甲状腺炎者3例(27.3%)，甲状腺功能减退3例(27.3%)，原发性甲状腺功能亢进5例(45.4%)；甲状腺占位性病变共计85例，包括甲状腺结节29例(34.1%)，甲状腺炎2例(2.4%)，甲状腺癌1例(1.2%)，甲状腺囊肿20例(23.5%)，甲状腺腺瘤33例(38.8%)。超声检查与病理诊断结果比较，差异均无统计学意义(P>0.05)。结论中老年人群甲状腺疾病的发生率较高。彩色多普勒超声检查可作为中老年人群甲状腺疾病辅助检查的首选方式，在中老年人健康查体中广泛推广。
목적：탐토갑상선초성진단재중노년인군건강체검중적응용개치。방법선택2013년12월~2014년12월래대평의원체검중심진행갑상선초성검사적중노년인위연구대상，기중부합납입표준적220례응용미국GE채색다보륵초성진단의진행갑상선초성진단，선진탐두，빈솔7~8 MHz。관찰연구대상중갑상선질병적환병정황，명학진단후적환자접수병리진단。결과220례수검적중노년인중，검출갑상선이상자96례，양성솔43.6%。50~60세자41례，검출이상15례(36.6%)；>60~70세60례，검출이상26례(43.3%)；>70~80세자52례，검출이상22례(42.3%)；>80~90세자55례，검출이상22례(40.0%)；>90세자12례，검출이상11례(91.7%)。통계학결과현시，불동년령단갑상선이상검출양성솔차이유통계학의의(P<0.05)。갑상선96례이상자，갑상선미만성병변공계11례，포괄만성림파세포성갑상선염자3례(27.3%)，갑상선공능감퇴3례(27.3%)，원발성갑상선공능항진5례(45.4%)；갑상선점위성병변공계85례，포괄갑상선결절29례(34.1%)，갑상선염2례(2.4%)，갑상선암1례(1.2%)，갑상선낭종20례(23.5%)，갑상선선류33례(38.8%)。초성검사여병리진단결과비교，차이균무통계학의의(P>0.05)。결론중노년인군갑상선질병적발생솔교고。채색다보륵초성검사가작위중노년인군갑상선질병보조검사적수선방식，재중노년인건강사체중엄범추엄。
Objective To investigate the application value of thyroid ultrasound diagnosis in the health check-up for middle-aged and old-aged people. Methods 220 cases which was accordance with the accepting criteria of middle-aged and old-aged people from December 2013 to December 2014 in Daping Hospital physical examination center for ultrasound examination were chosen, and American GE four-dimensional color Doppler ultrasound diagnostic instru-ment with linear array probe was used for all medical ultrasonic diagnosis of thyroid, frequency was 7-8 MHz. The re-search object of thyroid disease prevalence was observed, pathological diagnosis after definite diagnosis of patients was accepted. Results In 220 cases of the middle-aged and old-aged people, it checked out that, the thyroid gland was ab-normal in 96 (43.6%). In 41 cases of 50 to 60 years old, 15 cases (36.6%) were detected with abnormal; in 60 cases of> 60-70 years old, 26 cases (43.3%)were detected with abnormal; in 52 cases of > 70-80 years old, 18 cases (42.3%) were detected with abnormal;in 55 cases of>80-90 years old, 22 cases (40.0%) were detected with abnormal;in 12 cases of>90 years old, 11 cases (91.7%) were detected with abnormal. Statistical results showed that the difference of thyroid anomaly detection positive rate between different age groups was statistically significant (P<0.05). In 96 cases of thyroid with abnormal, 11 cases were diffuse lesions of the thyroid gland, including 3 cases of chronic lymphocytic thyroiditis (27.3%), 3 cases of hypothyroidism (27.3%), 5 cases of primary thyroid function hyperfunction (45.4%); 85 cases were thyroid space-occupying lesions, including 29 cases of thyroid nodule (34.1%), 2 cases of thyroiditis (2.4%), 1 case of thyroid carcinoma (1.2%), 20 cases of thyroid cyst (23.5%), 33 cases of thyroid adenoma (38.8%). Compared with the pathological diagnosis, the difference of ultrasound had no statistical significance (P>0.05). Conclusion The incidence of middle-aged and old-aged people thyroid disease is high. Color Doppler ultrasound examination can be used as aux-iliary examination and preferred way widely applied in the middle-aged and old-aged people for thyroid disease.