摘要
目的:探讨健康体检人群甲状腺结节超声检出情况及其患病危险因素.方法:回顾性分析2019年1月至2020年12月于本院进行健康体检的400例受检人员资料,所有入选者均进行常规体检.根据超声检查结果,将检出甲状腺结节的受检者纳入结节组,未检出甲状腺结节的纳入非结节组,统计两组资料,分析甲状腺结节发生的危险因素.结果:400例健康体检者共有90例检出甲状腺结节,检出率为22.50%(90/400).单因素分析发现,女性、人体质量指数(BMI)>24kg/m^(2)、血压异常、血脂异常、血糖异常、伴有乳腺结节,与甲状腺结节发生相关,差异有统计学意义(P<0.05).多因素非条件Logistic回归分析:女性、BMI>24kg/m^(2)、血压异常、血脂异常、血糖异常、伴有乳腺结节,是甲状腺结节发生的独立危险因素(P<0.05且OR≥1).结论:健康体检人群甲状腺结节检出率较高,女性、BMI>24kg/m^(2)、血压异常、血脂异常、血糖异常、伴有乳腺结节,是其独立危险因素,临床需予以高度重视,对伴有高危因素的人群进行重点筛查,以及时发现结节,尽早展开治疗.
Objective:To investigate the ultrasound detection of thyroid nodules and its risk factors for the disease in healthy people.Methods:The data of 400 subjects who underwent physical examination in our hospital from January 2019 to December 2020 were retrospectively analyzed.All subjects underwent routine physical examination.According to the results of ultrasound examination,the patients with thyroid nodules detected were included in the nodular group,and those without thyroid nodules were included in the non-nodular group.The data of the two groups were collected to analyze the risk factors of thyroid nodules.Results:Thyroid nodules were detected in 90 of 400 healthy subjects,the detection rate was 22.50%(90/400).Univariate analysis showed that female,body mass index>24kg/m^(2),abnormal blood pressure,abnormal blood lipids,abnormal blood sugar,and breast nodules were associated with thyroid nodules,and the differences were statistically significant(P<0.05).Multi-factor non-condition Logistic regression analysis showed that female,body mass index>24kg/m^(2),abnormal blood pressure,abnormal blood lipids,abnormal blood sugar,and breast nodules were independent risk factors for thyroid nodules(P<0.05 and OR≥1).Conclusion:The detection rate of thyroid nodules in healthy people is relatively high,the female,body mass index>24 kg/m^(2),abnormal blood pressure,abnormal blood lipid,abnormal blood sugar,and breast nodules are the independent risk factors.People with high-risk factors should be screened as focus groups,geting timely detection of nodules and early treatment.
作者
何彩晖
吴燕芳
HE Cai-hui;WU Yan-fang(Department of Disease Control and Prevention,Huichang Center for Disease Control and Prevention,Ganzhou 362135,China;Department of Ultrasound,Huichang People's Hospital,Ganzhou 362135,China)
出处
《四川解剖学杂志》
2022年第3期121-123,129,共4页
Sichuan Journal of Anatomy
关键词
健康体检
甲状腺结节
超声检出情况
患病危险因素
Physical examination
Thyroid nodule
Ultrasound detection
Risk factors for disease
