摘要
目的:探讨桥本病并甲状腺腺瘤的诊断及外科治疗。方法:对25例桥本病并甲状腺腺瘤的临床资料进行回顾性分析。结果:25例中,术前诊断为桥本病并甲状腺腺瘤者仅6例,误诊、漏诊达76%;术中快速切片确诊率为85%(17/20);术后病理切片确诊25例。根据病人具体情况采取不同范围的甲状腺切除术。术后全部病人均口服小剂量甲状腺素,2例口服小剂量强的松。15例病人获得随访,随访时间为2~10 a,3例发生甲状腺机能减退。结论:全面的血清免疫学检查、B超、细针抽吸细胞学检查有助于诊断。桥本病并甲状腺腺瘤应予以手术治疗。术中快速切片对确诊有重要价值。其手术方式、切除范围及术后药物治疗应个体化,尽可能避免术后甲状腺机能减退的发生。
Objective: To investigate the diagnosis and treatment of hashimoto′s disease(HD) combined with thyroid adenomas(TA).Methods: Clinical data of 25 cases of HD combined with TA were analysed retrospectively.Results: 6 patients were diagnosed before operation,misdiagnosis rate was 76%.Intraoperation frozen section diagnosis rate was 85 %(17/ 20).All patients were diagnosed as HD combimed with TA by pathology after operation.Various extension thyroidectomies were performed according to the patients conditions.Af...
出处
《内蒙古医学院学报》
2007年第S1期478-480,共3页
Acta Academiae Medicinae Neimongol
关键词
甲状腺炎
自身免疫学
甲状腺肿瘤
外科手术
thyroiditis
autoimmune
thyroid neoplasms
surgical operative procedures
