论文部分内容阅读
目的分析甲状腺疾病超声表现、甲状腺功能筛查情况。方法 2016年3月,某企业对360例女职工进行甲状腺疾病筛查。结果甲状腺彩色超声检查正常者41.94%,甲状腺异常者占58.06%;甲状腺彩色超声异常者FT4、TSH高于正常者,差异有统计学意义(P<0.05);左叶病变检出率27.5%(99/360)、右叶病变检出率33.33%(120/360),甲状腺双叶结节检出率19.72%(71/360),钙化率1.39%(5/360),甲状腺手术史占1.67%(6/360),不均质改变检出率4.72%(17/360),弥漫性病变检出率6.96%(25/360),回声欠均检出率1.67%(6/360),峡部结节检出率0.83%(3/360),1例单侧峡部缺如。血流信号检出率2.5%(9/360);可疑病灶检出率13.33%(48/360)。结论本组女职工甲状腺健康状况欠佳,彩色超声检查异常率超过半数,恶性可疑病灶发生率较高,FT4、TSH对甲状腺病变较敏感。
Objective To analyze the thyroid disease ultrasound manifestations, thyroid function screening. Methods In March 2016, a company screened 360 female workers for thyroid disease. Results Thyroid color ultrasound examination was normal in 41.94%, thyroid abnormalities accounted for 58.06%; thyroid color ultrasound abnormalities FT4, TSH higher than normal, the difference was statistically significant (P <0.05); the detection rate of left lobe lesions was 27.5% 99.360). The detection rate of right lobe lesions was 33.33% (120/360), thyroid double-lobe nodules was 19.72% (71/360), calcification rate was 1.39% (5/360), thyroid surgery history was 1.67 % (6/360), detection rate of inhomogeneous change was 4.72% (17/360), diffuse disease detection rate was 6.96% (25/360), echo underreach detection rate was 1.67% (6/360) Isthmus nodule detection rate of 0.83% (3/360), 1 case of unilateral isthmus absent. The detection rate of blood flow signal was 2.5% (9/360); the detection rate of suspicious lesions was 13.33% (48/360). Conclusion The health status of thyroid in this group of female workers is poor. The abnormal rate of color ultrasonography is over half and the incidence of malignant lesions is high. FT4 and TSH are more sensitive to thyroid lesions.