甲状腺疾病4164例临床病理诊断分析

Thyroid gland disease:a clinicopathological diagnosis analysis of 4164 cases

目的总结甲状腺疾病的病理诊断体会。方法统计归类分析4164例甲状腺病理活检材料。结果男:女为1:5.7,女性多于男性。非毒性甲状腺肿居首位(36.1%),其次为毒性甲状腺肿(27.8%),甲状腺腺瘤占第3位(27.7%),甲状腺癌和甲状腺炎分别为4.4%及4.0%。结论对甲状腺各种疾病进行归类分析,认为对甲状腺腺瘤诊断标准过宽,甲状腺癌不典型乳头状癌的冰冻诊断和包膜较完整的高分化的滤泡癌诊断经验不足。

Objective To summary the pathological diagnosis experience of thyroid gland diseases. Methods 4164 cases thyroid gland pathology biopsy material were analyzed with statistical classification. Results Malehe female is 1： 5.7. The female is more than the male. The non-toxic goiter occupies the first place （36.1%）, next for the toxic goiter （27.8%）, the thy- roid gland adenoma occupies third （27.2%）, the thyroid cancer and the thyroiditis respectively are 4.4% and 4.0%. Conclusions To analyze the classification of each kind of thyroid gland diseases, thought that the thyroid gland adenoma diagnosis standard were pine, the frozen diagnosis of the atypical papilliform tumor of thyroid cancer and the diagnoses of high polarized follicle cancer of the integrity envelop has insufficiently experienced.