摘要
目的:探讨临床上桥本甲状腺炎合并甲状腺癌的病理特点及相关诊治情况。方法:收治桥本甲状腺炎并甲状腺癌患者76例,对其资料进行回顾性分析。结果:76例患者中,给予患侧甲状腺腺叶切除合并峡部切除、对侧腺叶次全切除术治疗39例,手术后患者出现短暂低钙血症12例,经补钙后症状好转;出现中央区淋巴结转移14例;无术后喉返神经麻痹;出现少量淋巴瘘仅2例,患者3 d禁食、水后症状消失。结论:桥本甲状腺炎和甲状腺癌两者具有较紧密的关系,手术治疗是该病的首选疗法,临床效果显著,患者的预后较好。
Objective:To investigate the pathological characteristics and related diagnosis and treatment of Hashimoto's thyroiditis complicated with thyroid carcinoma.Methods:76 patients with Hashimoto's thyroiditis complicated with thyroid cancer were selected,and the data were analyzed retrospectively.Results:In 76 patients,patients were given ipsilateral thyroidectomy combined with isthmus resection combined with subtotal lobectomy in 39 cases,12 cases of transient hypocalcemia in patients after operation,and the symptoms improved after calcium supplementation,the central lymph node metastasis occurred in 14 cases.No postoperative recurrent laryngeal nerve palsy patients,only 2 cases showed a small amount of lymphatic fistula,and the symptoms disappeared after 3 days of fasting.Conclusion:Hashimoto's thyroiditis and thyroid cancer has close relationship.Surgery is the preferred treatment of the disease.The clinical efficacy is significant,patients with good prognosis.
出处
《中国社区医师》
2018年第3期18-18,20,共2页
Chinese Community Doctors
关键词
桥本甲状腺炎
甲状腺癌
诊治
Hashimoto's thyroiditis
Thyroid carcinoma
Diagnosis and treatment
