Zhou Xiaohua 1Liu Dongliang 1Chen Ya 1Li Xiangjun 1Fan Xiaoyun1
作者信息
- 1. Department of Endocrinology and metabolism, Chongqing Sixth People’s Hospital, Chongqing 400060, China
- 折叠
摘要
Abstract
Objective: To investigate the detection, distribution and influencing factors of thyroid benign and malignant nodules in medical inpatients. Methods: A total of 1 058 medical inpatients at our hospital from January 2013 to December 2017 was retrospectively selected. Thyroid ultrasound and related clinical data were collected and analyzed. The detection rates of thyroid nodules and thyroid cancer were calculated, and the influencing factors of incidence of thyroid nodules in medical inpatients were analyzed. Results: The positive detection rate of thyroid nodules was 58. 41% , and the detection rate of thyroid cancer was 1. 51% . The detection rate of thyroid nodules in males was significantly lower than that in females (52. 46% vs 64. 83% ; χ2 =16. 648, P<0. 001), and there was no significant difference in the detection rate of thyroid cancer between the two sexes (1. 46% vs 1. 57% ; χ2 =0. 023, P=0. 897). The detection rates of thyroid nodules in 6 age groups ( <40, 40~49, 50~59, 60~69, 70~79, ≥80) were 37. 93% , 45. 98% , 61. 92% , 66. 17% , 68. 99% and 69. 14% respectively. With the increase of age, the detection rate of thyroid nodules increased significantly (χ2tred =43. 638, P < 0. 001 ), and there was no statistically significant difference in the detection rate of thyroid cancer among ages (χ2 =3. 220, P=0. 666). multiple factor Logistic regression analysis showed that female (OR=1. 749), increase of age (OR=1. 036), elevation of fasting blood glucose (FPG) (OR=1. 012) were independent risk factors (P<0. 05) of the incidence of thyroid nodules. Conclusion: The detection rate of thyroid nodules is high in medical inpatients. Gender and age are important factors affecting the distribution of thyroid nod-ules. For female and elderly inpatients with FPG, thyroid screening by ultrasound should be widely used to facilitate the early detection and diagnosis of thyroid nodules and thyroid cancer.关键词
住院患者/甲状腺结节/甲状腺癌/患病率/影响因素Key words
Inpatient/Thyroid nodule/Thyroid cancer/Incidence/Influencing factor分类
医药卫生
