242例甲状腺肿物性质鉴别及治疗分析

Characteristics identification and treatement analysis of 242 cases of thyroid mass

目的：探讨良、恶性甲状腺肿物的临床特点、诊断和治疗方法。方法：回顾分析2006年3月－2009年8月我院收治的242例甲状腺肿物患者的临床资料。结果：全部病例均根据术中冰冻病理结果及探查情况采取了不同范围的手术切除,术后病理诊断前3位依次为结节性甲状腺肿128例、甲状腺瘤81例、甲状腺癌23例。结论：细致的体格检查及常规的超声检查对甲状腺肿物的性质鉴别仍是简单且相当重要的诊断措施。积极实施手术治疗,术中常规行冰冻病理检查,是预防、治疗恶性甲状腺肿物的重要措施。

Objective：To study the clinical characteristics,diagnosis and the treatement between the benign and malignant mass of thyroid.Methods：The data of 242 cases with thyroid mass who were treated in our hospital were reviewed and analysed.Results：All cases were treated by different resection depended on the freezing pathology around surgery.The 3 most common pathologic diagnosis were nodular goiter（128 cases）,thyroid adenoma（81 cases）,thyroid carcinoma（23 cases）.Conclusion：The meticulous physical examination and the routine ultrasound examination are the simple and important diagnostic measures of thyroid mass.We suggest aggressive surgical therapy with freezing pathology around surgery in order to take early discovery,diagnosis and treatment for those with malignant mass.