结节性甲状腺肿瘤和甲状腺腺瘤的临床病理分析  

作　　者：张洁[1] 欧阳艳红[1] 

机构地区：[1]四川省彭州市人民医院病理科,611930

出　　处：《当代医学》2013年第2期63-64,共2页Contemporary Medicine

摘　　要：目的分析并总结结节性甲状腺肿瘤与甲状腺腺瘤的临床病理特点。方法对2009年1月～2012年2月收治的256例甲状腺疾病患者的临床病理资料进行回顾性分析,分析并总结甲状腺病变的病理形态学特点。结果 256例甲状腺疾病患者中,女性患者显著高于男性患者,男女比例约为1:4,疾病高发年龄为31～50岁,共126例,占49.22%。甲状腺疾病术前诊断准确率为90.63%。结论手术前进行细针穿刺诊断价值存在一定的局限性,术中冷冻诊断难度较高,但其诊断结果的可靠性显著高于细针穿刺,尤其在恶性甲状腺疾病的诊断过程中具有不可取代的作用。由于甲状腺疾病的发生存在较大的地域差别,因此,在病理诊断过程中必须结合患者的临床病史实验室检查结果、病理组织结构等资料给予综合判断。Objective To analyze and summarize the clinical pathological features for nodular thyroid tumors and thyroid adenomas. Methods The clinical data of 256 cases of thyroid disease in patients from January 2009 to February 2012 was taken for retrospective analysis. The pathomorphological features of thyroid lesions were taken for analysis and summary. Results In the 256 cases of thyroid disease, the number for female patients was significant higher than the male patients. The ratio of male and female approximately was 1：4. The high incidence age for the disease was from 31 to 50 years old, there was a total of 126 cases, accounting for 49.22%. The preoperative diagnostic accuracy for thyroid disease was 90.63%. Conclusion The diagnostic value of fine needle aspiration before surgery is with some limitations, the intraoperative frozen diagnosis is more difficult, but its diagnostic reliability of the results is significantly higher than the fine-needle aspiration, especially in the diagnosis of malignant thyroid disease, it has an irreplaceable role. The occurrence of thyroid disease exist a big geographical differences, so in the pathological diagnosis of the process, we must combine the clinical history of patients, laboratory test results, and histopathological structure to give a comprehensive judgment.

关 键 词：结节性甲状腺肿瘤 甲状腺腺瘤 临床病理 

分 类 号：R736.1[医药卫生—肿瘤]