桥本病合并甲状腺多发结节129例诊治分析

目的探讨桥本病（no）合并甲状腺多发结节的诊断、治疗方法及预后。方法回顾性分析手术治疗的HD合并甲状腺多发结节129例患者的临床资料。结果129例患者均采用手术治疗，术后病理检查发现合并结节性甲状腺肿36例（27．9％）、合并甲状腺癌23例（17．8％）、合并甲状腺腺瘤3例（2．3％）、合并毒性甲状腺肿1例（0．78％）。结论HD合并多发甲状腺结节术前诊断有困难，可予以手术治疗。

Analysis of surgical treatment of hashimoto's disease(HD) complicated with thyroid multiple nodules

Objective To investigate the diagnosis、 treatment and prognosis of hashimoto's disease(HD) complicated with thyroid multiple nodules.Methods Clinical data of 129 cases of HD complicated with thyroid multiple nodules under want surgery in three years were analyzed retrospectively and followed up.Results All patients were received different scope of thyroidectomy according to the situation of thyroid nodules.The histologic examination after operation indicated there are 36 cases(27.9%) complicated with nodular goiter;23 cases(17.8%) complicated with thyroid cancer;3 cases(2.3%) complicated with thyroid adenomas;1 cases(0.78%) complicated with toxic goiter.Conclusion HD complicated with thyroid multiple nodules patients had difficulty in preoperative diagnosis of nodular nature and should be operate.