甲状腺结节173例治疗体会

目的探讨甲状腺结节的诊断和治疗方法,以及B超针吸穿刺在治疗中的作用。方法收集我院1995-2004年收治的甲状腺结节病例共173例,结合症状、体征辅助检查和手术进行分析并与术后的病理结果相比较。结果甲状腺良性结节166例,占95.9%;甲状腺癌7例,占4.1%。甲状腺癌术前诊断与病理相符4例,符合率57.1%;B超检查160例,138例与术后病理诊断相符,符合率86.3%,针吸穿刺131例,120例与术后病理诊断相符,符合率91.6%。结论B超和针吸穿刺可作为甲状腺结节术前常规检查,手术是治疗甲状腺结节最有效的方法。

Subject Experiences in diagnosis and treatmeat on 173 case of Thyroid Nodules Auther

Objective To study the diagnosis and treatmeat of thyroid nodules and the role of B mode ultrasonography and aspiration in diagnosis and treatmeat. Methods 173 case of the thyroid nodules from 1995 to 2004 were collected and analyzed refering to their symptoms,assist check,operation and further more compare with the pathological results. Results 95.9% of the thyroid nodules case (166 cases) were benign ones while 4.1% of them (7 cases). The accuracy rate of preoperative diagnosis was 57.1 % while that by B ultrasonic and aspiration was 86. 3% and 91.6%. Conclusion B mode ultrasonography and aspiration can be used in routine preoperative examination. The surgery was the most effective methods.