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桥本病55例的外科治疗
引用本文:张宪,李成福,李长鹤,李浩,李哲浩.桥本病55例的外科治疗[J].延边医学院学报,2004,27(1):62-64.
作者姓名:张宪  李成福  李长鹤  李浩  李哲浩
作者单位:[1]延边大学医学院附属医院普通外科,吉林延吉133000 [2]延边大学医学院附属医院胸心外科,吉林延吉133000 [3]延边第二医院外科,吉林延吉133001
摘    要:背景 ]总结桥本病的外科诊治经验 .病例报告 ]对 5 5例桥本病的发病情况、诊断以及手术治疗方法进行分析 .5 5例均经手术治疗 ,术后病理检查结果示单纯性桥本病为 32例 ,桥本病合并甲状腺腺瘤为 6例、结节性甲状腺肿为 5例、甲状腺功能亢进为 9例、甲状腺癌为 3例 .讨论 ]术中快速冰冻切片病理检查可明确桥本病诊断并可决定手术方式 .术中应多保留正常甲状腺组织 ,以防造成甲状腺功能低下 .

关 键 词:甲状腺炎  自体免疫性  诊断  手术  外科
文章编号:1000-1824(2004)01-0062-02
修稿时间:2003年11月10

Surgical treatment of 55 cases of Hashimoto's disease
ZHANG Xian,LI Cheng-fu,LI Chang-he,LI Hao,LI Zhe-hao.Surgical treatment of 55 cases of Hashimoto''''s disease[J].Journal of Medical Science Yanbian University,2004,27(1):62-64.
Authors:ZHANG Xian  LI Cheng-fu  LI Chang-he  LI Hao  LI Zhe-hao
Institution:ZHANG Xian1,LI Cheng-fu2,LI Chang-he3,LI Hao1,LI Zhe-hao1
Abstract:BACKGROUNDTo sum up the experience of surgical operation for Hashmotos's disease.CASE REPORTThe invasion, diagnosis and the method of treatment of 5 cases of Hashmotos's disease were analysed.All of 55 cases of Hashmotos's disease were treated by operation.Pathological diagnosis after operation showed that simple Hashmotos's disease were 32 cases, Hashmotos's disease combined with thyrophyma 6 cases, with nodal thyrocele 5 cases, with hyperthyroidism 9 cases and with thyroid cancer 3 cases. DISCUSSIONDuring the operation, quick ice pathologic examination can make definite diagnosis and determind operative method. It's better to reserve more normal thyroid tissue to prevent hypothyroidism.
Keywords:thyroiditis  autoimmune  diagnosis  surgery  operative
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