甲状腺结节:手术切除还是观察?  

Thyroid nodules:thyroidectomy or observation?

作　　者：黄国良[1] 张怡[1] 

机构地区：[1]福建医科大学附属协和医院内分泌科,福州350001

出　　处：《中国实用内科杂志》2010年第7期673-675,共3页Chinese Journal of Practical Internal Medicine

摘　　要：甲状腺结节十分常见,甲状腺结节的病因包括增生性结节、肿瘤性结节、囊肿和炎症性结节,绝大多数甲状腺结节为良性。甲状腺结节是手术切除还是随诊观察,取决于甲状腺结节的性质。因此,如何鉴别甲状腺结节良恶性是诊治的关键,应综合评估患者病史、体检、实验室检查及辅助检查,判断结节的性质,决定手术切除还是随诊观察。Thyroid nodules are very common. Its etiological factors include hyperplasia, adenomas, cancer, cysts, and thyroiditis. Most of thyroid nodules are benign. The management of thyroid nodules whether thyroidectomy or observation is according to their nature. So, the key of the therapy is to identify that they are benign or malignant. We should comprehensive evaluate patients＇ history, physical examination, laboratory examination, and auxiliary examination for judging the nature of thyroid nodules and making decision in the choose of thyroidectomy or observation.

关 键 词：甲状腺结节 颈部淋巴结 甲状腺自身抗体 甲状腺球蛋白 甲状腺核素显像 

分 类 号：R5[医药卫生—内科学]