论文部分内容阅读
目的探讨术前常规检查在鉴别甲状腺结节良恶性的可行性及其临床意义。方法对2002年2月至2013年2月,商丘市中心医院收治的310例手术治疗的甲状腺结节患者的临床资料进行回顾性分析。结果发现术前体格检查甲状腺结节直径、质地、吞咽时腺体上下移动性,甲状腺彩超提示的实性低回声结节、结界内血供丰富、结节形态和边缘不规则、微小钙化、伴有颈部淋巴结肿大等与术后病理证实的甲状腺癌关系密切;术前细针穿刺抽吸活检准确率较高。结论甲状腺结节患者可通过结合体格检查及一般常规检查较为准确地鉴别结节的性质,有利于指导治疗及制定恰当的手术方案。
Objective To investigate the feasibility and clinical significance of preoperative routine examination in differentiating benign and malignant thyroid nodules. Methods The clinical data of 310 surgically treated thyroid nodules from February 2002 to February 2013 in Shangqiu Central Hospital were analyzed retrospectively. The results showed that preoperative physical examination of thyroid nodules diameter, texture, swallowing glands up and down swallowing, thyroid ultrasound prompted solid hypoechoic nodules, rich blood supply within the womb, nodular morphology and edge irregularities, microcalcifications, Accompanied by cervical lymph node enlargement and histopathology confirmed thyroid cancer close; preoperative fine needle aspiration biopsy accuracy. Conclusions Patients with thyroid nodules can identify the nature of nodules more accurately by combining physical examination and general examination, which is helpful for guiding the treatment and formulating appropriate surgical plans.