摘要
目的 总结桥本氏病的临床诊治经验。方法 分析我院 1988年 1月至 1998年 12月间手术且经病理证实的 78例桥本氏病的临床资料。结果 女 70例 ,男 8例 ,年龄 9～ 70岁 ,平均 41.6岁。其中合并甲状腺恶性肿瘤者占10 .3 % ,合并腺瘤者占 2 3 .1% ,合并其他甲状腺疾病者占 3 0 .8% ;误诊率为 3 5 .9% ,漏诊率为 46.2 %。结论 强调当发现甲状腺双侧肿大 ,临床上扪及包块而B超未发现包块 ,甲状腺扫描显影淡 ,甲状腺微粒体抗体及甲状腺球蛋白抗体升高等情况时 ,应高度怀疑为桥本氏病。
Objective [WT5”BZ]To sum up experiences in diagnosis and treatment for Hashimoto′s disease (HD). [WT5”HZ]Methods [WT5”BZ]Clinical records of 78 patients who underwent operations and were diagnosed as Hashimoto′s disease by histologic examination in our hospital from Jan. 1988 to Dec. 1998 were analyzed. [WT5”HZ]Results [WT5”BZ]Seventy females and 8 males, aged 9 to 70 years (average of 41.6 years). HD was coexistent with 10.3% of thyroid gland malignant tumor, 23.1% of adenoma and 30.8% of other thhroid gland diseases. The misdiagnosis rate was 35.9% and missed diagnosis rate was 46.2%. The clinical feature of HD and most common cause of misdiagnosis and missed diagnosis have been discussed. [WT5”HZ]Conclusion [WT5”BZ]It is emphasized that patients with diffuse goiter, palpable nodules, lighty color on scintillation scintigraphy, elevation of antimicosomiaux and antithyroglobuline but no finding on B us should be highly suspected of having Hashimoto′s disease.
出处
《中国普外基础与临床杂志》
CAS
2000年第3期167-169,共3页
Chinese Journal of Bases and Clinics In General Surgery
