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目的:探讨新疆维、汉两民族中甲状腺疾病的发病趋势。方法:回顾性分析新疆医科大学第一附属医院2005年1月～2007年4月来收集的116例维、汉甲状腺疾病患者的临床病理资料。结果:汉族74例(63.82%),维吾尔族42例(36.18%)。患者女性发病率为男性3.3倍。女性50岁以下发病率为92.13%,而男性为33.33%。男性发病年龄高峰为60～69岁,女性为30～59岁。79例(68.10%)为良性肿瘤及肿瘤样病变,37例(31.90%)为甲状腺癌。良性肿瘤及肿瘤样病变中结节性甲状腺肿49例(62.02%),腺瘤23例(29.11%),桥本甲状腺炎5例(6.33%),亚急性甲状腺炎和乳头状增生各1例(1.27%)。甲状腺癌各分型病理学分析发现乳头状腺癌26例(70.27%),其次滤泡癌7例(18.92%),未分化和癌髓样癌各2例(5.41%)。女性发病率及发病年龄早于男性,女性患者主要是中青年。组织学类型以甲状腺肿的比例最高,其次为甲状腺癌,腺瘤的发病率较低,甲状腺炎最少。乳头状癌占甲状腺癌的比例大。维、汉两个民族甲状腺癌的发病率无显著性差异(P>0.05)。结论:提示新疆维、汉甲状腺疾病的发病率有上升趋势。
Objective: To investigate the prevalence of thyroid diseases in both Victoria and Han ethnic groups in Xinjiang. Methods: The clinical and pathological data of 116 cases of thyroid and thyroid diseases collected from January 2005 to April 2007 in the First Affiliated Hospital of Xinjiang Medical University were retrospectively analyzed. Results: 74 cases of Han (63.82%) and 42 cases of Uyghur (36.18%). The incidence of female patients was 3.3 times that of males. The incidence of women under the age of 50 was 92.13%, while that of men was 33.33%. Male onset peak age of 60 to 69 years, 30 to 59 years of age in women. 79 cases (68.10%) were benign tumors and tumor-like lesions, 37 cases (31.90%) were thyroid cancer. Nodular goiter (62.02%), adenoma 23 (29.11%), Hashimoto’s thyroiditis 5 cases (6.33%), subacute thyroiditis and papillary hyperplasia in benign and tumor-like lesions (1.27%). Thyroid cancer by pathological analysis of 26 cases found papillary adenocarcinoma (70.27%), followed by follicular carcinoma in 7 cases (18.92%), undifferentiated and myeloid carcinoma in 2 cases (5.41%). The incidence and incidence of women earlier than men, women are mainly young and middle-aged patients. Histological type with the highest proportion of goiter, followed by thyroid cancer, the incidence of adenomas is lower, the least thyroiditis. Papillary carcinoma accounts for a large proportion of thyroid cancer. There was no significant difference in the incidence of thyroid cancer between Victoria and Han nationalities (P> 0.05). Conclusion: It is suggested that the incidence of thyroid diseases in Victoria and Han nationalities in Xinjiang is on the rise.