摘要
桥本甲状腺炎(HT)是一种自身免疫性疾病,其特点为甲状腺大,腺体内有弥散性淋巴细胞和浆细胞浸润,间质纤维化和腺体萎缩伴腺泡的嗜酸性退行性变,临床以甲状腺功能减退为特征。血清中抗甲状腺球蛋白抗体(TGAb)、甲状腺过氧化物酶抗体(TPOAb)持续阳性,病情迁延难愈。近年来HT呈逐年高发的趋势,且合并甲状腺癌的报道逐渐增多,关于HT外科治疗的认识也发生了变化。本文就国内外关于HT的诊断及外科治疗等相关研究进行综述。
Hashimoto thyroiditis(HT) is an autoimmune disease,its feature is large thyroid,glands have diffuse lymphocytes and plasma cells infiltration,interstitial fibrosis and glandular atrophy companion with acinar eosinophilic degeneration,hypothyroidism is the clinical features.Anti-thyroglobulin antibody(TGAb),thyroid peroxidase antibody(TPOAb)in serum is continuous positive,HT is hard to cure.In recent years,not only the incidence of HT,but also the reports of HT with thyroid cancer are increasing.So,the viewpoints about HT surgical treatment also have changed.This review focus on the diagnosis and surgical treatment of HT.
出处
《中国当代医药》
2015年第3期19-22,共4页
China Modern Medicine
关键词
桥本甲状腺炎
诊断
外科治疗
Hashimoto thyroiditis
Diagnosis
Surgical treatment