摘要
目的 总结桥本病及其共存的甲状腺疾病的诊治经验。方法 回顾我院 1984年 1月至 2 0 0 1年 6月外科手术治疗的桥本病 138例 ,分析 5 2例与桥本病共存的甲状腺疾病的临床资料。结果 5 2例均并发甲状腺结节 ,其中桥本病并存甲状腺癌 17例 ( 12 32 % ) ,淋巴瘤 2例 ( 1 6 2 % ) ,甲状腺腺瘤 5例 ( 3 6 2 % ) ,甲状腺机能亢进 2例 ( 1 6 2 % ) ,结节性甲状腺肿 2 6例 ( 18 84% )。采取了不同范围的手术方式。术后均服用甲状腺素片并随访 ,淋巴瘤死亡 1例 ,甲状腺功能低下 1例。结论 对于合并甲状腺结节者 ,应手术治疗排除甲状腺恶性肿瘤的可能 ,术中快速病理检查是获得正确诊断的有效方法 ,有利于选择适当的手术方式。
Objective To sum up the experience on diagnosis and treatment of Hashimoto disease and its concurrent thyropathy. Methods Clinical data were analyzed on 52 cases of Hashimoto disease(HD) surgically found to have concurrent thyropathy from Jan 1984 to Jun 2001 out of 138 HD cases undergoing surgery. Results Thyroid nodules were found in all 52 HD cases, among which 17 were with thyroid cancer, 2 with malignant lymphoma, 5 with thyroid adenoma, 2 with hyperthyroidism, and 26 with nodular goiter. Thyroidectomy of different extent was performed. Postoperatively all cases were given thyroxine. On follow-up a patient with malignant lymphoma died, and one patient suffered hypothyroidism. Conclusion HD is a ubiquitous disease. The clinical diagnosis of is still difficult. HD cases complicated with thyroid nodules should be treated surgically to exclude malignant tumors. Intraoperative frozen section is a reliable diagnostic method and may guide the surgical modality.
出处
《中华普通外科杂志》
CSCD
北大核心
2003年第3期173-175,共3页
Chinese Journal of General Surgery
关键词
桥本病
甲状腺疾病
诊断
治疗
外科手术
Thyroiditis,autoimmune
Thyroid nodule
Diagnosis
Surgical procedure, operative
