摘要
桥本氏甲状腺炎在近年发病有增多趋势,该病在临床上极易误诊、误治,而导致病员某些不必要并发症。我院自1960～1987年间经手术病理证实者为47例,经分析一般实验室检查对本病诊断无特异价值。我们认为即使作血清抗甲状腺球蛋白抗体(TG)及抗甲状腺微粒体抗体(MC)测定时,亦应结合其它临床特征,或口服甲状腺素片试验性治疗,或辅以甲状腺细针抽吸细胞学检查。必要时作能提供满意病检材料之甲状腺开窗术。对手术探查之指征应严格控制,术中应尽可能作快速冰冻切片检查,方能避免甲状腺组织的不必要损伤。
In recent years the incidence of Hashimoto's thyroiditis tends to increase,thedisease is apt to be misdiagnosed,leading to undesirable complications.From 1960to 1987 47 patients with pathologically proved thyroiditis were admitted in thishospital.An analysis of the usual laboratory findings revealed nothing of specificallydiagnostic value.It was suggested that even serum TGA and MCA would not be valu-able unless they were correlated with clinical manifestations or with therapeutictests by oral administration of thyroid tablets,or with fine-needle cytologic exami-nation.If necessary fenestration of the thyroid to provide satisfactory histologicmaterial would be of help.The indications of operative exploration should be strictlylimited.Frozen section during the operation might avoid unnecessary injuries ofthe thyroid.
出处
《天津医药》
CAS
1989年第6期339-341,共3页
Tianjin Medical Journal
