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桥本病(Hashimotodisease,HD)是最常见的慢性自身免疫性甲状腺炎。临床上HD经常表现为甲状腺结节,或并发其他甲状腺疾病而接受外科治疗。本院自1986年5月～2000年3月收治表现为结节的桥本病12例并经手术治疗和病理检查证实为本病例,现对其诊断和手术适应症、手术范围和方式进行探讨。1 临床资料1.1 一般资料:男1例,女11例。年龄21～65岁,其中35岁～45岁9例。病程4个月～25年。双侧肿大或伴结节8例,单侧肿大或伴结节3例,单侧多发结节1例。其中声音嘶哑1例。1.2 辅助检查:7例术前检测T_3、T_4值高于正常1例。B超扫描
Hashimotodisease (HD) is the most common chronic autoimmune thyroiditis. Clinical manifestations of HD are often thyroid nodules, or concurrent thyroid disease and receive surgical treatment. Our hospital from May 1986 to March 2000 were treated for the performance of nodules in 12 cases of Hashimoto’s disease and confirmed by surgery and pathological examination as the case, now its diagnosis and surgical indications, the scope and methods of surgery were discussed . 1 clinical data 1.1 General Information: 1 males and 11 females. Aged 21 to 65 years old, of which 35 years old to 45 years old in 9 cases. Duration of 4 months to 25 years. Bilateral enlargement or with nodules in 8 cases, unilateral enlargement or with nodules in 3 cases, unilateral multiple nodules in 1 case. One case of hoarse voice. 1.2 Auxiliary examination: 7 cases preoperative detection of T_3, T_4 value higher than normal in 1 case. B-scan