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细针穿刺抽吸细胞学检查,用以诊断甲状腺疾病已有30年历史。文献报道北美成人甲状腺疾病发病率高达6%左右,其中大多数为良性病变,但常因多种检查未能明确诊断,且难以排除恶性病变,造成不必要的手术治疗,若保守治疗也有欠妥之处。自从开展甲状腺穿刺术后,能明确诊断,方便治疗。现将笔者的体会报告如下。临床资料1973年4月—1984年底,本院内、外科共穿刺148例,大多数患者在门诊以甲状腺结节就诊,经5年、11年两次随访的病人中女118人,男30人,女/男=3.9/1。年龄14—73岁,平均35岁。以囊性包块最多,实质性包块次之,混合性包块少见。发病部位多在甲状腺一侧,也有峡部及两侧者。病程20天—20年。
Fine needle aspiration cytology to diagnose thyroid disease for 30 years. Reported in the literature the incidence of thyroid diseases in North America as high as 6%, most of them benign lesions, but often due to a variety of tests failed to confirm the diagnosis, and difficult to rule out malignant lesions, resulting in unnecessary surgical treatment, if conservative treatment is also defective Where. Since the thyroid puncture, can confirm the diagnosis, easy to treat. Now the author’s experience report is as follows. Clinical data From April 1973 to the end of 1984, a total of 148 cases were punctured in our hospital and surgical department. Most patients were treated with thyroid nodules in the clinic. Among them, 118 were female and 30 were male after two years of follow-up of 5 years and 11 years. Female / Male = 3.9 / 1. Aged 14-73 years old, average 35 years old. Most cystic mass, followed by the substantive mass, mixed mass is rare. The incidence of more than in the thyroid side, but also on both sides of the isthmus. Duration of 20 days - 20 years.