406例桥本氏甲状腺炎的临床分析  

Dignosis and treatment of Hashimoto's thyroiditis

作　　者：金锐[1] 刘经祖[1] 陶英杰[1] 李亦工[1] 黄宗堂[1] 

机构地区：[1]天津医科大学肿瘤医院头颈科

出　　处：《天津医科大学学报》2000年第3期320-321,共2页Journal of Tianjin Medical University

摘　　要：目的 :分析桥本氏甲状腺炎的临床表现、诊断及治疗。方法 :回顾了1954年1月至1999年4月间收治的桥本氏甲状腺炎406例 ,分析其临床表现 ,实验室检查结果及治疗方案。结果 :桥本氏甲状腺炎常表现为腺体弥漫肿大 ,但偶为孤立结节存在 ,甚至可以伴有疼痛、固定等恶性征象。偶可并发恶性肿瘤。结论 :本病系良性病变 ,应以内科治疗为主 ,但应注意与恶性肿瘤鉴别。外科治疗主要用于缓解压迫症状。对可疑癌肿病例应作病理切检 ,以明确诊断。Objective: To analyse the clinical manifestation diagnosis and treatment of Hashimoto's thyro_iditis. Methods: The 406 cases of Hashimoto's thyroiditis,registered from January 1954 to April 1999, were reviewed. Results: The typical characteristics are dessentary thyrophma. But, it frequently appears as an isolated nodular, and even co-exists certain malignant appearances, such as pain, fixation and so on. Occasionally, Hashimoto's thyroiditis could be accompanied with malignant neoplasm. Conclusion: Drug therapy is the first choice. When airway is compressed, surgery resection is acceptable. To diagnose accurately, the biopsy is necessary for suspicious cases.

关 键 词：桥本氏甲状腺炎 诊断 治疗 

分 类 号：R581.4[医药卫生—内分泌]