在三级保健中心接受甲状腺超声检查的患者甲状腺结节的患病率

Arbind Kumar Chaudhary, S. Khadka, Sushil Dulal, Narayan Bikram Thapa
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摘要

背景:甲状腺结节是一种常见病,在一般人群中已被检出的比例高达50%。影像学在甲状腺疾病的诊断和表征中起着关键作用,影像学研究提供的信息对管理计划至关重要。目的:评估在三级保健中心接受甲状腺超声检查的患者甲状腺结节的患病率。方法:对86例患者进行描述性横断面研究。数据收集时间为2021年10月至2022年3月。应用甲状腺影像、报告和数据系统检查甲状腺结节。采用SPSS v.20进行描述性统计。结果:甲状腺结节98例(88%),男性15例(15.3%),女性83例(84.7%)。98例患者中,右侧甲状腺结节66例(67.3%),其中良性50例(51%),恶性16例(16.3%),左侧甲状腺结节52例(53.7%),良性36例(36.7%),恶性16例(16.3%)。大多数参与者的甲状腺结节组成为囊性型,无回声型。女性性别与恶性程度、甲状腺结节的实性组成和界限不清有显著关系。结论:与其他研究相比,甲状腺结节的患病率较高。甲状腺影像学报告与数据系统对甲状腺结节的良恶性鉴别具有一致性、边界、回声结构等特征。
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Prevalence of thyroid nodules in patients undergoing thyroid ultrasonography at a tertiary care centre
Background: Thyroid nodules are common diseases, and have been detected up to 50% of the general population. Imaging plays a key role in the diagnosis and characterisation of thyroid diseases, and the information provided by imaging studies is essential for management planning. Objectives: To assess the prevalence of thyroid nodules in patients undergoing Thyroid ultrasonography in a tertiary care centre. Methods: A descriptive cross-sectional study was done among 86 patients. Data were collected from October 2021 to March 2022 after ethical clearance. Thyroid Imaging, Reporting and Data System were used to access the thyroid nodules. Descriptive statistics were applied using SPSS v.20. Results: The prevalence of thyroid nodules was seen in 98 (88%) individuals in total distributed in 15 (15.3%) males, and 83 (84.7%) females. Among total 98 patients, 66 (67.3%) patients had right thyroid nodules: benign 50 (51%), malignant 16 (16.3%) and 52 (53.7%) had left thyroid nodules: benign 36 (36.7%), malignant 16 (16.3%). The composition of thyroid nodules among majority participants was cystic type, anechoic type of echogenicity. Significant relationship was seen among female gender and malignancy, solid composition of thyroid nodules, and ill-defined margin. Conclusion: The prevalence of thyroid nodules was higher in comparison to other studies. Sonographic features like consistency, margin, and echotexture could differentiate benign and malignant thyroid nodules by using Thyroid Imaging Reporting and Data System.
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