桥本病28例诊治体会

Experience in Diagnosis and Treatment for 28 Patients with Hashimoto' s Disease

目的总结桥本病的临床诊治经验。方法分析2002年1月至2008年12月间株洲市二医院普外科收治的28例桥本病的临床资料。结果28例患者中通过细针穿刺抽吸细胞学检查确诊桥本病12例,占42.86%,药物保守治疗有效的8例,占28.57%,手术冰冻确诊6例,占21.43%,切除后常规石蜡切片确诊2例,占7.14%。结论术前可疑病例细针穿刺抽吸细胞学检查及术中冰冻是获得正确诊断的有效方法,有利于避免误诊或漏诊。

Objective To summarize the clinical experiences of diagnosis and treatment of Hashimoto disease. Methods Analyze the clinical datas of twenty-eight patients suffered from Hashimoto disease treated in second hospital of Zhuzhou from Jan 2002 to Dec 2008. Results In the twenty-eight cases, twelve were diagnosed by fine-needle aspiration cytology（42.86%）, drug therapy was effective in eight（28.57%）, six were diagnosed by （21.34%） intraoperative frozen sections and two were confirmed by Paraffin sections（7.14%）. Conclusions Fine-needle aspiration cytology and intraoperative frozen sections both are effective methods in the diagnosis of Hashimoto disease.