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本院自1986年至1995年收治甲状腺腺瘤185例。现就诊治体会报告如下。 1 临床资料 男29例,女156例,男女之比为1:5.3。年龄15—68岁。单发157例,多发28例。B超检查110例,诊断为甲状腺腺瘤92例,符合率83.6％;细针抽吸细胞学检查75例,与石腊切片相符者61例,正确率达81.3％。单纯腺瘤摘除44例,复发2例;病侧腺叶全或次全切除加峡部切除141例。术后病理结果:滤泡状腺瘤158例,乳头状腺瘤18例,不典型腺瘤5例,混合性腺瘤4例,合并囊性变81例。 2 讨论
This hospital received 185 cases of thyroid adenoma from 1986 to 1995. The diagnosis and treatment experience is reported below. 1 Clinical data 29 males and 156 females, male to female ratio 1:5.3. Age 15-68 years old. There were 157 single cases and 28 multiple cases. B-ultrasound examination in 110 cases, diagnosed as 92 cases of thyroid adenoma, the coincidence rate of 83.6%; fine needle aspiration cytology examination in 75 cases, consistent with the paraffin slices in 61 cases, the correct rate of 81.3%. Only 44 cases of adenoma were removed, and 2 cases relapsed; 141 cases of total or subtotal resection of the glands and lobes were removed. Postoperative pathological findings: 158 cases of follicular adenomas, 18 cases of papillary adenomas, 5 cases of atypical adenomas, 4 cases of mixed adenomas, and 81 cases of cystic changes. 2 Discussion