桥本氏病误诊分析

慢性淋巴细胞性甲状捎炎（桥本氏病，Ｈａｓｈｉｍｏｔｏ’ｓ ｔｈｙｒｏｉｄｉｔｉｓ，ＨＴ），在甲状腺疾病中易误诊和漏诊。该院１９８０￣１９９５年３月间因各种甲状腺疾病而进行手术者共２７７０例，其中合并ＨＴ的有５７例（２．０６％），对于结节性甲状腺肿的病例术前均应测定抗甲状腺球蛋白抗体（ＴＧＡＢ），抗甲状腺微粒体抗体（ＴＭＡＢ）及细针细胞学穿刺检查（ＦＮＡＣ），对于结节性甲状腺肿伴发甲亢的病例，除了油     

甲状腺机能亢进合并慢性淋巴细胞性甲状腺炎71例报道

本文报告71例甲状腺机能亢进患者,经 TT_3、TT_4、Tg-A、TM-A、TSH 和甲状腺细胞学穿刺证实,同时均合并慢性淋巴细胞性甲状腺炎存在,并讨论了此病的临床特征及其治疗,治疗应以药物治疗为主,以β肾上腺能阻滞剂心得安治疗较传统抗甲状腺药物治疗为宣,手术治疗一定要有明确指征。     

ANALYSIS OF EFFICACY IN TREATMENT OF LOW-RISK WELL-DIFFERENTIATED THYROID CANCER WITHOUT CERVICAL LYMPH NODE INVOLVEMENT： 42 CASES REPORT

Objective To assess the more appropriate surgical treatment for low-risk group differentiated thyroid cancer. Methods A total of 42 low-risk patients with DTC, according to the AMES system （ male, n = 6; female, n = 36）, were chosen for total thyroidectomy or subtotal thyroidectomy with center compartment lymphadectomy. Results Nineteen patients had cervical lymph node involvement. Two patients had recurrent nerve injured. One patient had hypoparathyroidism. There were no mortality or local lymph recurrent up to present. Conclusion Total thyroidectomy or subtotal thyroidectomy with prophylactic center compartment lymphadectomy is an appropriate approach for the treatment of low-risk group differentiated thyroed cancer, to prevent recurrent and improve life quality.     

甲状腺日间手术规范化分析

[目的]分析甲状腺肿瘤日间手术的优势,并比较专业组医师与非专业组医师的差异.[方法]收集2013年1～12月甲状腺肿瘤手术病例2765例,比较日间手术组(597例)与非日间手术组(2168例)的费用差异;在日间病例中,再根据主刀医生的专业分成专业组和非专业组,比较两组手术时间和术后并发症差异.[结果]日间手术组较非日间手术组费用低(10316.96±1042.07元vs 11269.82±1999.33元,P＜0.05).日间病例中,专业组平均手术时间较非专业组明显缩短(31.63±13.74min vs 46.83±18.62min,P＜0.05).而专业组的术后并发症发生率则明显低于非专业组,特别是暂时性喉返神经损伤和暂时性甲状旁腺机能减退的发生率(0.81％vs3.92％,1.01％ vs 5.88％,P均＜0.05).[结论]日间手术模式可有效减少患者住院天数和住院费用,由专业组医师负责更能保证手术的安全,缩短手术时间.