检索历史 清除

目的 探讨在健康体检中应用甲状腺彩色超声检查,提高甲状腺结节及癌的检出率.方法 分析北京协和医院职工查体最近6年的甲状腺检查资料,以既往5年外科触诊甲状腺检查结果为对照,比较2011年增加了甲状腺彩色超声检查后甲状腺结节及甲状腺癌的检出情况.结果 2006-2010年5年间职工查体6348人次.检出甲状腺结节450人次,检出率7.09％；手术病理证实为甲状腺癌24例,年均甲状腺癌检出率0.38％.2011年职工查体1706人次.增加了甲状腺彩色超声检查后,总体(外科+彩色超声)检出甲状腺结节525人次,检出率30.77％.高度可疑甲状腺癌建议手术者22例,病理证实甲状腺癌18例,甲状腺良性病变4例,甲状腺癌检出率1.06％.组间比较有统计学意义.结论 甲状腺超声检查提升了甲状腺结节检出和诊断.在健康体检中综合分析彩色超声征象,形态不规则、细小钙化、血运丰富者应警惕甲状腺癌.

Objective To study the effectiveness of ultrasonography in thyroidnodule disease detection and malignant/benign lesion differentiation during health check-up.Method Thyroid examination data of Peking Union Medical College Hospital(PUMCH)staff over the last 6 years were retrospectively reviewed.The results of thyroidnodule scanning by using ultrasonography were compared with the findings of physical examinations.Results Among 6348 health check-up receivers from 2006 to 2010,450 were found to have thyroidnodule(detection rate 7.09％).Twenty malignant lesions were confirmed in histological examinations(mean detection rate per year 0.38％).In 2011,1706 thyroid glands were scanned by both physical examination and ultrasonography,and 525 thyroidnodules were identified(detection rate 30.77％).Surgical operations were performed for 22 suspected malignant tumors,and 18 malignant lesions were finally confirmed(detection rate 1.06％).Conclusion Ultrasonography can improve the detection of thyroidnodule.Irregular shape,microcalcification,and rich blood-flow may indicate malignant nodules.