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目的分析探讨结节性甲状腺肿合并甲状腺微小癌的临床诊断特点与治疗方法,更好的指导今后临床工作。方法回顾性分析我院2011年3月至2013年3月收治的结节性甲状腺肿手术患者864例,将术后确诊为结节性甲状腺肿合并微小癌的设为观察组,其余列为对照组,分别对其临床资料进行分析、统计和总结。结果864例患者中合并甲状腺微小癌患者82例,发生率9.5%;观察组甲状腺钙化率及甲状腺结节数目与对照组及总体相比均有明显差异,差异有统计学意义(P<0.05),随访1~4年,无1例患者复发。结论结节性甲状腺肿合并甲状腺微小癌患者甲状腺钙化率高,合并结节数目少,术中应根据快速病理及术前临床特点恰当的选择合适的术式进行手术以减少再次手术和复发率。
Objective To analyze and discuss the clinical diagnosis features and treatment of nodular goiter complicated with thyroid microcarcinoma and to better guide future clinical work. Methods A retrospective analysis of 864 cases of nodular goiter patients who were treated in our hospital from March 2011 to March 2013 was retrospectively analyzed. The diagnosis of nodular goiter combined with small cancers was performed as the observation group and the rest as control Group, respectively, the clinical data analysis, statistics and summary. Results Eighty-eight patients with thyroid microcarcinoma had 82 cases (9.5%). The thyroid calcification rate and the number of thyroid nodules in the observation group were significantly different from those in the control group and the overall group (P <0.05) One to four years follow-up, none of the patients relapsed. Conclusions Patients with nodular goiter and thyroid microcarcinoma have high thyroid calcification rate and few combined nodules. Surgery should be based on the rapid pathology and preoperative clinical characteristics in order to reduce the frequency of reoperation and recurrence.