论文部分内容阅读
我院自1972年1月至1982年1月,共收治甲状腺单发结节616例,其中良性572例(92.86%),恶性44例(7.14%)。术前单纯用同位素碘扫描鉴别甲状腺单发结节的性质比较困难。如术中发现结节与周围组织粘连、浸润、易碎、易出血,应高度警惕癌的可能性,及时送冰冻切片检查,可降低误诊率。单发结节中90%以上是良性,一般只做腺瘤摘除(包括周围部分正常甲状腺组织)。对术中冰冻切片检查为恶性者,则作患侧腺叶及峡部全切术。少数术中鉴别困难术后病理诊断为癌者,则再行二期手术。
In our hospital from January 1972 to January 1982, a total of 616 solitary thyroid nodules were treated, of which 572 were benign (92.86%) and 44 were malignant (7.14%). It is difficult to differentiate the solitary thyroid nodules by simple isotope iodine scan before surgery. Such as intraoperative nodules and surrounding tissue adhesion, infiltration, brittle, easy bleeding, should be highly alert to the possibility of cancer, timely delivery of frozen section examination, can reduce the misdiagnosis rate. More than 90% of solitary nodules are benign, and generally only adenomas are removed (including normal thyroid tissue around them). For the intraoperative frozen section examination as malignant, the ipsilateral gland and isthmic resection. A small number of intraoperative differential diagnosis difficult postoperative pathological diagnosis of cancer, then the second phase of surgery.