甲状腺单发结节189例临床分析

Sigle thyroid gland: A clinical analysis of 189 cases

目的总结评价4年来我院对甲状腺单发结节的诊断及治疗体会。方法回顾分析189例甲状腺单发结节患者的临床资料。结果 189例患者中甲状腺单发结节术后经病理组织学证实甲状腺癌30例,良性159例。171例获随访,随访率达90.5%。随访时间为6个月～4年,喉返神经损伤2例,未出现甲状腺功能异常。结论术前细针穿刺活检结合彩超检查对甲状腺单发结节良、恶性鉴别有帮助,甲状腺单发结节恶性率较高(15.8%),应积极手术治疗。

Objective To summary the diagnosis and of single thyroid nodus during the reeemt six yesrs in our hospital. Methods Retrospectively analyze the clinical data of 189 single thyroid nodus cases. Results Among the 189 cases,30 ones were confirmed to be thyroid carcinoma by histopathology,while 159 ones were verified to be beign thyroid diseases, 171 cases were followed up for six months to four years,The follow-up rate is 90.5%.Five cases were complicated by la- ryngeal nerve damage, no one suffered from hypothyroidism after openation. Conclusion Aspiration biopsy with ring nee- dles before operation, together with color ultrasonic examination are helpful to the differentiation between benign and malignant sindle thyroid nodus, since 15.8% single thyroid nodus were malignant ones, therapy actively should be accepted operation.