论文部分内容阅读
目的探讨桥本甲状腺炎合并甲状腺结节的内科治疗及手术治疗方式及预后。方法总结2000-01-2010-06河源?紫金县人民医院诊治的桥本甲状腺炎合并甲状腺结节138例,分析内外科治疗的疗效和甲状腺功能减退之间的关系。结果对于入选患者进行随机分组,手术治疗组60例,病理结果证实合并甲状腺癌4例,术后5 a甲减发生率10.0%;内科治疗组78例,5 a甲减发生率10.3%;两种治疗方式比较,甲减发生率差异无统计学意义。结论手术治疗桥本甲状腺炎合并甲状腺结节,能及时发现甲状腺癌,术后5 a甲减发生率低。
Objective To investigate the surgical treatment and prognosis of Hashimoto’s thyroiditis with thyroid nodules. Methods Summary 2000-01-2010-06 Huron? Zijin County People’s Hospital diagnosis and treatment of Hashimoto’s thyroiditis with thyroid nodules in 138 cases, analysis of the efficacy of internal and surgical treatment and the relationship between hypothyroidism. Results The patients were randomly divided into operation group (n = 60). The pathological results showed that 4 cases had thyroid carcinoma, the incidence of hypothyroidism after 5 years was 10.0%. In the medical treatment group, 78 cases had a hypothyroidism rate of 10.3% Comparison of treatment methods, the incidence of hypothyroidism was no significant difference. Conclusion Surgical treatment of Hashimoto’s thyroiditis with thyroid nodules, thyroid cancer can be found in time, the incidence of hypothyroidism 5 a postoperative low.