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甲状腺腺瘤是一种常见病。本文就1975~1979年收治的184例甲状腺腺瘤手术治疗效果,分析探讨如下。临床资料性别与年龄:男38例,女146例,男女之比为1∶3.8,年龄最小15岁,最大79岁,其中21~50岁占82.06%。症状与体征:患者一般无自觉症状,大多数病人系偶然发现肿块,少数病人颈部有压迫感,吞嚥时不适感或疼痛,声音嘶哑,个别病人有心悸、心慌、多汗等。颈前区触及肿块,单个或多发结节,肿块多局限,边界清楚,随吞咽上下移动,质地多中等,直径0.5至12厘米。本组中40例行同位素碘~(131)扫描,其中冷结节30例,凉结节3例,温结节7例。
Thyroid adenoma is a common disease. In this article, 184 cases of thyroid adenoma received surgical treatment from 1975 to 1979 were analyzed and discussed as follows. Clinical data on gender and age: Male 38 cases, female 146 cases, male to female ratio was 1:3.8, youngest 15 years old, maximum 79 years old, of which 21 to 50 years accounted for 82.06%. Symptoms and signs: Patients generally have no symptoms, most of the patients were accidentally found a lump, a small number of patients with a sense of pressure on the neck, discomfort or pain when swallowing, hoarse voice, individual patients with palpitations, palpitation, sweating and so on. The anterior cervical region touched the mass, with single or multiple nodules. The mass was more confined, the boundary was clear, and it moved up and down with swallowing. It was medium in texture and 0.5 to 12 cm in diameter. Of the 40 patients in this group, isotope iodine-131 scans were performed, including 30 cases of cold nodules, 3 cases of cold nodules, and 7 cases of warm nodules.