论文部分内容阅读
目的：研究结节性甲状腺肿的临床病理特点。方法：对１５２例手术后病理证实的结节性甲状腺肿患者进行回顾性分析。结果：在 １５２例结节性甲状腺肿的患者中，甲状腺癌的发生率为 ３．３％；甲状腺腺瘤的发生率为４５％。临床诊断结节性甲状腺肿的准确率为 ２６．３％，Ｂ型超声诊断的准确率为 ９．２％。结节性甲状腺肿的同位素扫描主要表现为肿大的甲状腺内伴有单发或多发的温、凉结节。结论：肿大不明显的结节性甲状腺肿临床上很难与甲状腺单发或多发腺瘤相鉴别，Ｂ型超声诊断结节性甲状腺肿方面无临床价值；相当一部分的结节性甲状腺肿患者同时伴有甲状腺的肿瘤。因此，对结节性甲状腺肿患者应适当放宽手术指征。
Objective: To study the clinicopathological features of nodular goiter. Methods: A retrospective analysis of 152 patients with nodular goiter confirmed by pathology after surgery was performed. RESULTS: Among 152 patients with nodular goiter, the incidence of thyroid cancer was 3.3%; the incidence of thyroid adenoma was 45%. The accuracy of clinical diagnosis of nodular goiter is 26.3%, and the accuracy of B-mode ultrasound diagnosis is 9.2%. The isotope scan of nodular goiter is mainly characterized by a single or multiple warm and cold nodules in the enlarged thyroid gland. Conclusion: The nodular goiter with large enlargement is difficult to differentiate with thyroid singly or multiple adenomas. There is no clinical value in the diagnosis of nodular goiter with B-mode ultrasonography; a considerable part of patients with nodular goiter At the same time with thyroid tumors. Therefore, patients with nodular goiter should be appropriately relaxed surgical indications.