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本文回顾研究1981～84年期间对20例(18～34岁)妊期作甲状腺手术的女患者。所有病人均有甲状腺肿大,并进行了甲状腺功能测定。除4例患有药物难以控制的甲亢而进行手术治疗者外,其余16例的处理包括反复针吸活检、避免接受放射性同位素扫描及甲状腺素治疗,手术延迟到产后进行。结果表明在16例肿瘤中7例为甲状腺癌(43%),(6例为混合样乳头状泸泡癌,其中3例有颈部转移性结节),6例腺瘤,2例胶样结节,1例甲状腺炎。10人妊期病情稳定甲状腺结节无增大,有3例在妊期结节增长,其中2例为恶性。针吸活检是临床诊断的一个重要方法。所有患者术前均接受了至少三个月的甲状腺素治疗。手术包括甲状腺部分切除或加颈淋巴结
This review looked at 20 female patients (18-34 years) undergoing thyroid surgery during the 1981-84 period. All patients had goiter, and thyroid function tests. In addition to 4 cases of patients with hyperthyroidism is difficult to control the surgical treatment of the remaining 16 cases, including repeated needle aspiration biopsy, to avoid receiving radioactive isotopes and thyroid hormone treatment, surgery delayed to postpartum. The results showed that in 16 of 16 tumors, 7 were thyroid carcinomas (43%) (6 were mixed papillary carcinomas, 3 of which had metastatic nodules), 6 adenomas and 2 gums Nodules, 1 case of thyroiditis. 10 pregnancy-stable thyroid nodules did not increase, there are 3 cases of nodules during pregnancy increased, of which 2 were malignant. Needle aspiration biopsy is an important method of clinical diagnosis. All patients received thyroxine for at least three months before surgery. Surgery, including partial thyroidectomy or cervical lymph nodes