小儿甲状腺单发结节

SINGLE NODULE OF THYROID IN CHILDREN

目的：提高对小儿甲状腺单发结节的诊断与治疗的认识。方法：对我院1983年1月～1996年2月收治的42例小儿甲状腺单发结节病例进行回顾性研究。结果：42例甲状腺单发结节中甲状腺腺瘤29例，甲状腺癌8例，给节性甲状腺肿5例。结论：B超、甲状腺同位素扫描、细针穿刺细胞学活检及X线检查有助于甲状腺单发结节性质的鉴别诊断。小儿甲状腺单发结节恶性率较高，应积极手术切除。

Improve the diagnosis and treatment about the single nodule of thyroid in children. Methods: 42 cases of single nodule of thyroid were reviewed. They had hospitaliztion from January 1983 to February 1996. Results: The 42 cases of single nodule of thyroid, among them, thyroidadenoma 29 cases, carcinoma of thyroid gland 8 cases, and nodular goiter 5 cases. Conclusion: B-ultrasound, thyroid radioisotope scanning, aspiration biopsy of thyroid gland and X-ray cheque are helpfulfor the diagnosis of the nature of single thyroid nodule. The maligment rate of single thyroid nodule inchildren is high. So surgical operation is necessary.