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门诊甲状腺结节近10年的变化趋势分析OA

Outpatient consultation trends for thyroid nodule over the past decade

中文摘要英文摘要

目的 分析 2015-2024年门诊甲状腺结节10年就诊变化趋势.方法 选取 2015-2024年解放军总医院第一医学中心、兰州大学第一医院每年 3、6、9、12 月全部内分泌科门诊患者开展回顾性研究,统计甲状腺结节就诊人次、门诊占比,分析结节良恶性分类、临床治疗方式10年变化情况.结果 2015-2019年,两家医院内分泌科甲状腺结节、良性结节、甲状腺癌就诊人数及门诊占比持续上升;2023年小幅下降,2024年再次回升;甲状腺癌就诊人数增幅更为明显.良性结节在全部甲状腺结节病例中占主体,但甲状腺癌病例占比逐年升高.选择定期临床观察、外科手术治疗的患者占比10年内无明显波动,采用消融治疗的患者数量与占比逐年上升.结论 甲状腺结节为内分泌科高发疾病,就诊增长趋势未得到控制;依据结节危险分层制定随访、治疗方案,有助于减轻社会医疗负担.

Objective To analyze the ten-year outpatient variation trend of thyroid nodules from 2015 to 2024.Methods A retrospective study was conducted on all endocrinology outpatients in March,June,September and December each year from 2015 to 2024 at Department of Endocrinology of The First Medical Center of Chinese PLA General Hospital and The First Hospital of Lanzhou University.The number of thyroid nodule patients and their proportion in total outpatient visits were counted,and the ten-year changes in benign and malignant nodule classification as well as clinical treatment modes were analyzed.Results From 2015 to 2019,the number and outpatient proportion of patients with total thyroid nodules,benign thyroid nodules and thyroid cancer in the two hospitals increased continuously.The data decreased slightly in 2023 and rose mod-erately again in 2024,with a larger growth range of thyroid cancer cases.Benign nodules accounted for most thyroid nodule cases,while the proportion of thyroid cancer increased year by year.The proportion of patients receiving regular clinical observation and surgical treatment remained stable within the decade whereas both the number and proportion of patients treated with ablation increased annually.Conclusion Thyroid nodule is a common disease in endocrinology clinics,and its rising consultation trend has not been restrained.Formulating follow-up and treatment plans based on risk stratification of nodules can help reduce the social medical burden.

关聪会;韩婕;李琼;牛强龙;井高静;刘进进;吕朝晖;傅松波

兰州大学第一医院 内分泌科,甘肃 兰州 730000兰州大学第一医院 内分泌科,甘肃 兰州 730000兰州大学第一医院 内分泌科,甘肃 兰州 730000兰州大学第一医院 内分泌科,甘肃 兰州 730000兰州大学第一医院 内分泌科,甘肃 兰州 730000兰州大学第一医院 内分泌科,甘肃 兰州 730000解放军总医院第一医学中心 内分泌科,北京 100853兰州大学第一医院 内分泌科,甘肃 兰州 730000

医药卫生

甲状腺结节10年就诊趋势内分泌门诊甲状腺癌良恶性构成消融治疗

thyroid nodule10-year outpatient consultation trendendocrinology outpatientthyroid cancerbenign and malignant compositionablation therapy

《兰州大学学报(医学版)》 2026 (5)

30-34,5

四大慢病重大专项资助项目(2023ZD0508100)兰州市2025年科技发展指导性计划资助项目(2025-5-142)甘肃省卫生行业计划资助项目(GSWSKY2024-08)

10.13885/j.issn.2097-681X.T20260047

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