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目的 :探讨甲状腺囊性结节的命名、发病机制、诊断及治疗。方法 :随机收集甲状腺囊性结节 1 5 9例 ,从甲状腺扫描 ,B超检查 ,细胞学穿刺检查 (FNAC)三方面对上述病例进行分类。并对外科手术的患者病理结果进行分类。结果 :囊性结节患者 ,多数存有某种甲状腺疾病病理变化 ,囊液为血性液体。结论 :推断先存在有甲状腺疾患 ,后因供血不足继发坏死 ,少数单纯囊肿囊液为胶质液 ,为滤泡液增多所致。B超检查可准确鉴别甲状腺结节的囊实性。同位素扫描 ,存在有假阴性 ,需结合相关检查。细胞学检查不失为一种安全、有效、可靠的方法 ,但有局限性。单纯性囊肿、桥本、亚甲炎等合并囊肿行保守治疗 (如抽 注治疗 ) ;良性结节或恶性肿瘤并发囊性变者主张手术治疗。
Objective: To investigate the naming, pathogenesis, diagnosis and treatment of thyroid cystic nodules. Methods: One hundred and fifty-five thyroid cystic nodules were collected at random. The above cases were classified by thyroid scan, B-ultrasound and cytological examination (FNAC). The pathological findings of patients undergoing surgery were also classified. Results: Cystic nodules, most of the existence of a pathological thyroid disease, cystic fluid is bloody fluid. Conclusion: There is a predisposition for thyroid disease, followed by necrosis due to insufficient blood supply, a small number of simple cyst fluid as the glial fluid, follicular fluid increased due to. B-ultrasound can accurately identify thyroid nodules cystic solidity. Isotope scanning, there is a false negative, the need to combine the relevant examination. Cytology is a safe, effective and reliable method, but it has limitations. Simple cysts, Hashimoto, methylene and other merger conservative treatment of cysts (such as pumping therapy); benign nodules or malignant cystic degeneration advocated surgery.