摘要
目的探讨桥本病（HD）并存甲状腺结节的诊治经验。方法回顾分析我院1995年至2008年手术治疗的，以结节形式为主要症状的187例HD的临床资料。结果HD并存甲状腺癌21例（11．2％），结节性甲状腺肿50例（26．7％），甲状腺滤泡性腺瘤28例（15％），淋巴瘤3例（1．6％），采取了不同范围的手术方式，术后均服用甲状腺素片。结论对于HD并存甲状腺结节尤其单结节患者，如临床资料不能除外恶性肿瘤均应积极手术。B超及细胞学穿刺有助于术前诊断，而术中快速病理检查是确诊的有效方法，并指导手术方案的制定。
Objective To study the diagnosis and therapy of Hashimoto＇s disease （HD） with thyroid nodule. Methods The clinical data of 187 patients with nodulous Hashimoto＇s disease who had operation in our hospital from 1995 to 2008 were analysed retrospectively. Results The nodules coexisting with Hashimoto＇s disease were thyroid carcinoma, nodular goiter, thyroid follicular adenoma and lymphoma accounting for 11.2% （21/187）, 26.7% （50/187）, 15% （28/187） and 1.6% （3/187） respectively. Conclusions HD patients with thyroid nodules especially the single nodule that can not be distinguished from cancer should have operation in time. Ultrasound guided needle aspiration will be helpful for the preoperative diagnosis and the frozen section may guide the surgical modality.
出处
《中华内分泌外科杂志》
CAS
2009年第6期409-411,共3页
Chinese Journal of Endocrine Surgery
