摘要
目的总结桥本病的外科诊治经验。方法回顾分析1999年至2005年收治的39例桥本病发病情况、诊断和治疗。结果 10例经 B 超穿刺活检确诊,29例经手术治疗。与病理检查对照,术前误诊率明显下降。并发甲状腺癌5例(占%),恶性淋巴瘤1例(占%)。结论桥本病是常见病;正确掌握其临床特征、常规测血清抗体(TGA、TMA)、B 超、有选择地作 FNAC 检查、注意与其他甲状腺疾病鉴别可降低术前误诊率;重视并发恶性肿瘤;术中常规作冷冻切片检查,其手术方式、切除范围及术后药物治疗应个体化,尽可能避免术后甲状腺机能减退的发生。
To further summarize our experience in diagnosis and surgical treatment of Hashimoto disease. Methods From 1999 to 2005, 39 cases of HD were evaluated in their clinical findings, diagnosis and surgical treatment. Results HD were surgically treated in 29 cases and diagnosed by pathology, coexistance of thyroid carcinoma were 15% （6/39）. Conclusion Tbe key to correct diagnos and rational treatment for HD is detailed understanding its clinical features, routine examinations of serum antibodies, ultrasonography and selective FNAC. The operation procedures, extension of excision and medication after operation should be individulization to avoid the occurrence of postoperative hypothyroidism as possible.
出处
《医学研究通讯》
2005年第12期46-48,共3页
Bulletin of Medical Research
