作者对经病理证实的甲状腺腺瘤病人６８３例进行分析。指出１３１Ｉ扫描显示热结节对诊断甲腺功能亢进及高功能腺瘤有帮助，但对肿瘤定性无重要价值。甲状腺腺瘤手术为中小手术，但完善的术前检查及准备不容忽视。手术切口不能过小，以能良好显露甲状腺上动脉为原则。良好的显露、清洁的手术野及精细的操作是手术成功、避免术中损伤及并发症的保证 The author analyzed 683 cases of pathologically confirmed thyroid adenomas. It was pointed out that the 131I scanning showed that hot nodules are helpful in the diagnosis of hyperthyroidism and high-functioning adenomas, but they are of no value for characterization of tumors. Thyroid adenoma surgery for small and medium operations, but the perfect preoperative examination and preparation can not be ignored. Surgical incisions should not be too small to allow good exposure of the superior thyroid artery. Good exposure, clean surgical field and fine operation are the guarantee of successful operation and avoid intraoperative damage and complications