摘要目的 探讨飞行人员年度体检中行甲状腺彩色超声检查的重要性. 方法 分析2001年1月至2015年7月在解放军第四五八医院住院和门诊体检的飞行人员高频彩色超声检查资料,对甲状腺影像学异常进行分类分析.自2011年起,所有飞行人员甲状腺结节性病变病例在常规高频二维彩色多普勒超声检查基础上,采用实时超声弹性成像技术对甲状腺结节进行半定量分析,并追踪疾病转归. 结果 共1 570名飞行人员行甲状腺彩色超声检查,检出甲状腺异常104例(6.62％),其中结节性病变78例,弥漫性病变26例.19例甲状腺结节性病变行手术治疗,其中甲状腺癌5例(2例术后放飞),14例为良性结节.26例甲状腺弥漫性病变者均行药物治疗或定期医学观察. 结论 ①飞行人员甲状腺疾病的发病率低于普通人群.②高分辨率彩色超声检查可发现早期甲状腺恶性病变,适用于飞行人员常规体检,可作为飞行人员年度大体检甲状腺的常规检查项目.

abstractsObjective To investigate the importance of inspecting thyroid of the flying personnel by color Doppler ultrasound in annual physical examination.Methods The color Doppler ultrasound thyroid diagnosis data of 1 570 flying personnel who were the out and in-patients in the 458th Hospital of PLA from 2001 to 2015 were reviewed and the abnormal images were classified.Since 2011,the pathological change cases of thyroid nodules that were diagnosed by high frequency 2-D color Doppler ultrasound needed further determination by real-time ultrasonic elastography for semi quantitative analysis.The prognosis of disease was followed up.Results There were 104 abnormal thyroids cases (6.62％) included 78 nodule lesions and 26 diffuse lesions.Nineteen nodule lesions cases were treated by surgery including 5 cases of thyroid carcinomas (2 cases were qualified for flying then).Fourteen cases were benign nodule.Twenty-six cases of thyroid diffuse lesions were cured by medicine and inspected regularly.Conclusions ①The incidence of thyroid disease of flying personnel is lower than that of the ordinary people.②High resolution color Doppler ultrasound could be the preferred method of early examination for malignant thyroid disease.This method should be applied to the annual physical examination of flying personnel.