摘要
目的总结外科治疗桥本病临床经验。方法收集1998年6月至2004年8月手术治疗桥本病72例,对术前诊断、手术方式、术后病理、术后治疗等方面进行分析。结果72例手术治疗桥本病,经术后病理证实,术前诊断符合率36%(26/72),手术正确率66.7%(48/72),合并甲状腺癌3例,合并恶性淋巴瘤5例,术后出现甲低4例。结论桥本病误诊、误治率较高,手术应严格掌握适应症。术前针吸细胞学检查,术中根据大体标本情况判定及快速冰冻病理切片诊断有较高的正确率,一般情况下的桥本病行一侧腺叶加峡部切除较为适宜,合并甲状腺癌者按甲状腺癌根治,合并恶性淋巴瘤者术后要补充放化疗。
Objective To summarize surgical therapy of Hashimoto disease. Methods There were 72 patients who had been collected by surgical therapy from Jun 1998 to Aug 2004. To analyze the diagnosis, surgical methods, pathology and after treatment. Results Contrasting to the pathologic diagnosis, 36 percent （26/72） initial diagnosis and 66.7 percent surgical treatment are correct of all cases , 3 cases were incorporated with thyroid cancer, 5 cases were incorporate with malignant lymphomas, and 4 cases appeared lower measure of thyroid hormone. Conclusions It was very difficult to diagnose Hashimoto disease. According to fine needle aspiration cytology examination in pre-operation and the result of frozen section in operation can increase in diagnosis. In general one leaf and isthmus thyroid gland excision ave selected in operation, which incorporated with thyroid cancer were treated with thyroid cancer radical cure. and which incorporate with malignant lymphomas will be treated with radiation and medical treatment.
出处
《肿瘤基础与临床》
2006年第1期28-30,共3页
journal of basic and clinical oncology
关键词
桥本病
诊断
手术
恶性肿瘤
Hashimoto disease（HD）
diagnosis
surgical
malignant tumor
