甲状腺结节超声检查在健康体检中的应用价值OA
The Application Value of Thyroid Nodule Ultrasound Examination in Health Checkups
目的 探讨甲状腺结节超声检查在健康体检中的应用价值.方法 回顾性分析2024年9月至2025年9月于江苏省太湖康复医院接受健康体检的68638例人员的临床资料,所有研究对象均行甲状腺超声检查,统计甲状腺结节检出情况、年龄与性别分布特征及TI-RADS分级结果,并分析超声检查的筛查效能.结果 68638例体检者中,甲状腺结节检出37578例,检出率为54.75%;男女检出率在所有体检者中占比分别为49.58%、50.42%,差异无统计学意义(P>0.05);年龄分组显示,25~39岁组甲状腺检出率为30.39%,40~59岁组检出率为61.09%,60~80岁组检出率为68.83%,检出率随年龄增长显著升高(P<0.05);TI-RADS分级中,2~3类良性结节占96.45%,4~5类可疑恶性结节占3.55%.结论 甲状腺结节在健康体检人群中的检出率较高,且风险随年龄增长而升高.超声检查可清晰识别结节特征,并进行TI-RADS分级,实现结节的早期发现与良恶性风险分层,是健康体检中筛查甲状腺结节的理想手段.
Objective:To explore the application value of ultrasound examination of thyroid nodules in health examination.Methods:The clinical data of 68638 patients who received health examination in Taihu Rehabilitation Hospital of Jiangsu Province from September 2024 to September 2025 were retrospectively analyzed.All subjects underwent thyroid ultrasound examination,and the detection of thyroid nodules,age and gender distribution characteristics and TI-RADS grading re-sults were counted,and the screening efficiency of ultrasound examination was analyzed.Results:Among 68638 cases,37578 cases of thyroid nodules were detected,the detection rate was 54.75%.The detection rate of male and female ac-counted for 49.58%and 50.42%in all physical examination subjects,respectively,with no statistical significance(P>0.05).The age group showed that the detection rate of thyroid gland was 30.39%in 25~39 years old group,61.09%in 40~59 years old group and 68.83%in 60~80 years old group,which increased significantly with age(P<0.05).On the TI-RADS scale,96.45%were benign nodules of type 2~3 and 3.55%were suspected malignant nodules of type 4~5.Conclusion:The detection rate of thyroid nodules in healthy people is high,and the risk increases with age.Ultrasound examination can clearly identify the characteristics of nodules,and carry out TI-RADS classification,so as to realize early detection of nodules and stratification of benign and malignant risks,which is an ideal means to screen thyroid nodules in health examination.
蒋慧敏
江苏省太湖康复医院超声科,江苏 无锡 214086
医药卫生
甲状腺结节超声检查健康体检TI-RADS分级
Thyroid noduleUltrasonic examinationPhysical examinationTI-RADS classification
《生命科学仪器》 2026 (4)
29-31,3
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