甲状腺结节性疾病576例诊治分析

目的探讨甲状腺结节性疾病的病因构成和诊治措施的选择。方法回顾性分析2004年1月至2008年6月我科住院治疗的576例甲状腺结节性疾病的诊治经过。结果所有患者行手术病检或细针穿刺细胞学检查（FNAC）明确诊断：良性病变529例（结节性甲状腺肿283例、甲状腺滤泡性腺瘤221例、桥本氏病17例、亚急性甲状腺炎8例）；恶性病变47例（乳头状癌32例、滤泡状癌9例、髓样癌2例、未分化癌1例、淋巴瘤3例）。结论B超检查、FNAC和术中冰冻快速切片对甲状腺结节有重要的鉴别诊断价值；结节性甲状腺肿最为常见，甲状腺癌与结节性甲状腺肿有密切关系；规范手术切除范围，可减少甲状腺结节复发、甲状腺癌漏诊。

Analysis of the treatment and diagnosis for 576 cases of thyroid nodular diasease

Objective To investigate the pathogenic constitution of thyroid nodular diasease and it' s di-agnosis and treatment.Methods A retrospective analysis was performed on data of 576 patients accepted hospi-tal therapy with thyroid nodular diasease from January 2004 to June 2008.Results Definite diagnosis of all easeswere made by surgery biopsy or fine needle aspiration-cytology.529 eases were benign lesions, another 47 eases were malignant lesions.Condusions Ultra-sound , FNAC and frozen sections have important value in differenti-al diagnosis for the thyroid nodules, nodular goiter is most common, and which have a close relationship with thy-roid carcinoma.Regular surgical resection would reduce the recurrence of thyroid nodular diasease and avoid missed diagnosis for thyroid carcinoma.