摘要
目的：研究结节性甲状腺肿的临床病理特点。方法：对１５２例手术后病理证实的结节性甲状腺肿患者进行回顾性分析。结果：在 １５２例结节性甲状腺肿的患者中，甲状腺癌的发生率为 ３．３％；甲状腺腺瘤的发生率为４５％。临床诊断结节性甲状腺肿的准确率为 ２６．３％，Ｂ型超声诊断的准确率为 ９．２％。结节性甲状腺肿的同位素扫描主要表现为肿大的甲状腺内伴有单发或多发的温、凉结节。结论：肿大不明显的结节性甲状腺肿临床上很难与甲状腺单发或多发腺瘤相鉴别，Ｂ型超声诊断结节性甲状腺肿方面无临床价值；相当一部分的结节性甲状腺肿患者同时伴有甲状腺的肿瘤。因此，对结节性甲状腺肿患者应适当放宽手术指征。
Objective: To summarize the clinical and pathological characters of nodular goitre. Material and Methods: A retrospective review of 152 patients operated on for nodular goitre was carried out between January 1988 and August 1998. Results: The incidence of carcinoma and adenoma in these patients was 3. 3 % and 45 %, respectiviy. Correct diagnosis of nodular goitre was made from the clinical features in 26. 3 % of these patients, but only 9. 2 % from B - type ultrasonography. Conclusion: It is difficulty to differentiate nodular goitre from thyroid adenoma in which the enlargement of thyroid is not apparent. B - type ultrasonography is unvalued in diagnosis of nodular goitre. The operation should be taken into account for these patients because of high incidence of the tumor in it.
