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142例甲状腺癌误诊误治原因及再手术探讨 被引量:2

Analysis of the Errors the Diagnosis and Treatment of 142 Cases of Thyroid Carcinomas and of Their Resection
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摘要 本文报道142例甲状腺癌,术前能确诊者46例,确诊率仅32.4%,大部分需靠术中主观判断和(或)术后病理确诊。再次手术者28例,再手术率19.8%。文中着重提出了误诊误治的4个主要原因,并明确指出,对术前性质不明的甲状腺结节进行单纯肿块切除术是造成再手术的主要原因。还详细讨论了再手术的适应证、手术时机和手术方式。 Among the 142 cases of thyroid carcinoma,46 cases (32. 4%) were definitely diagnosed before opertation, but the rest of them depended on conventional surgical explorations and on pathological methods after operation. 28 patients (19. 8%) were resectioned. We discussed four main causes of the error of the diagnosis and treatment, and pointed out that the main cause of resection was due to the simple resection of the thyroid nodule before its nature was known. This article also depicts the indication. occasion and pattern of the resection.
出处 《河南肿瘤学杂志》 1992年第1期39-41,共3页 Henan Journal of Oncology
关键词 甲状腺肿瘤 误诊 误治 手术 thyroid carcinoma the error of diagnosis and treatment resection
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参考文献3

  • 1张美蕊,高瀚.细针抽吸细胞学检查诊断甲状腺病的价值[J]实用外科杂志,1986(05).
  • 2林富箴,袁祖荣.甲状腺癌外科治疗进展[J]实用外科杂志,1986(05).
  • 3Torsten L?whagen M.D.,Jan-Silvester Willems M.D.,G?ran Lundell M.D.,Rolf Sundblad M.D.,Per-Ola Granberg M.D.. Aspiration biopsy cytology in diagnosis of thyroid cancer[J] 1981,World Journal of Surgery(1):61~70

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