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目的调查甲状腺结节在超声检查中的检出情况,并分析其患病的影响因素。方法选择2011年2月-2014年2月在某医院体检的人员2 500名,通过B超测量甲状腺容积,自制调查问卷仔细询问受检人员情况。统计其患病情况并分析其发病的相关影响因素。结果在此次调查中,B超检查共发现甲状腺结节207例,占检查总人数的8.28%。结节组人员左叶的左右径、前后径,右叶的左右径、前后径以及峡部的前后径均大于正常组(P<0.05或P<0.01)。多因素Logistic回归分析结果发现,年龄>40岁、饮食以荤食为主、食用碘盐、常食用海鲜和放射接触史等是甲状腺结节发生的危险因素(OR>1,P<0.05)。结论通过超声检查发现,甲状腺结节的发病率较高,且相关的危险因素较多,应引起足够的重视,并积极采取相应的预防措施。
Objective To investigate the detection of thyroid nodules in ultrasound examination and analyze the influencing factors of the disease. Methods From February 2011 to February 2014, 2,500 medical staff in a hospital were selected. Thyroid volume was measured by B-mode ultrasonography, and questionnaires were asked to inquire carefully about the subjects. Statistics of its prevalence and analysis of the incidence of related factors. Results In this survey, 207 cases of thyroid nodules were found by B-ultrasound, accounting for 8.28% of the total number of examinations. Left and right diameter, anteroposterior diameter, left and right diameter, anteroposterior diameter and anterior and posterior diameter of the isthmus of the left lobe in the nodule group were significantly larger than those in the normal group (P <0.05 or P <0.01). Multivariate logistic regression analysis found that age> 40 years old, the main meat and meat diet, the consumption of iodized salt, seafood and radiation exposure history is the risk of thyroid nodules (OR> 1, P <0.05). Conclusion Ultrasound examination found that the incidence of thyroid nodules is high, and the associated risk factors more, should pay enough attention, and take appropriate preventive measures.