论文部分内容阅读
目的探讨慢性淋巴细胞性甲状腺炎(CLT)合并甲状腺结节的诊断和处理原则方法对1995-2005年间经手术病理证实的 CLT 合并甲状腺结节病例,采用回顾性对照研究的方法,依据不同的病理类型分组,就临床特点、诊断和治疗进行比较。结果 CLT 合并甲状腺癌组共5l例,女性48例,男性3例,平均年龄36.8岁,平均病程24.6个月,28例为单发结节,34例可见结节内钙化;CLT 合并良性结节组共96例,其中女性94例,男性2例,平均年龄48.0岁,平均病程59.0个月,27例为单发结节,14例可见结节内钙化。两组病例在发病年龄、病程、结节个数及钙化等方面的差异均有统计学意义。结论 CLT 合并甲状腺结节手术治疗的主要原因是合并甲状腺癌。CLT 自身形成结节、结节性甲状腺肿及甲状腺腺瘤也是常见原因。对于 CLT 合并甲状腺结节应积极诊治,当细针穿刺病理结果提示恶性可能、甲状腺结节短期内明显增大、B 超提示单发实性结节或结节合并钙化时,应行手术治疗。
Objective To investigate the diagnosis and treatment of chronic lymphocytic thyroiditis (CLT) complicated with thyroid nodules Methods of CLT with thyroid nodules confirmed by surgery and pathology from 1995 to 2005 were retrospectively controlled study, according to different pathology Grouping by type, comparing clinical features, diagnosis and treatment. Results CLT with thyroid cancer group a total of 5l cases, 48 women, 3 males, mean age 36.8 years, the average duration of 24.6 months, 28 cases of solitary nodules, 34 cases of visible nodular calcification; CLT with benign nodules A total of 96 cases, of which 94 cases of women, two males, mean age 48.0 years, the average duration of 59.0 months, 27 cases of solitary nodules, nodular calcification in 14 cases. Two groups of patients in the age of onset, duration, number of nodules and calcification and other differences were statistically significant. Conclusion CLT combined with thyroid nodule surgery is the main reason for the merger of thyroid cancer. CLT itself form nodules, nodular goiter and thyroid adenoma is also a common cause. For CLT combined with thyroid nodules should be actively diagnosed, when fine needle aspiration pathology prompted the possibility of malignancy, thyroid nodules increased significantly in the short term, B-Tip Solitary solid nodules or nodules with calcification, should be treated surgically.