甲状腺结节诊疗规范探讨  

Discussion on Diagnosis and Treatment Standards of Thyroid Nodules

作　　者：张永文[1] 张晓立[1] 梅海云[1] 程艳[1] 

机构地区：[1]南京中医药大学附属南京市中西医结合医院内分泌科,江苏南京210014

出　　处：《湖南中医药大学学报》2017年第6期659-663,共5页Journal of Hunan University of Chinese Medicine

摘　　要：甲状腺结节是内分泌系统的常见病,发现甲状腺结节后需行影像学检查如B超等证实其客观存在,然后结合患者的症状、体征、实验室检查、影像学特点及细胞病理学检查结果以明确甲状腺结节性质,甲状腺结节诊断的关键是良、恶性的鉴别,对指导治疗具有非常重要的意义。良性结节选用手术、左甲状腺素(levothyroxine,L-T4)、^(131)I、经皮酒精注射及中医中药等治疗,恶性结节可选用手术、^(131)I、抑制促甲状腺激素(thyroid stimulating hormone,TSH)等治疗。Thyroid nodule is the common disease in the endocrine system, which is confirmed by imageological exami-nation, such as B-ultrasonic examination. The nature of this disease is cleared by patient＇s symptoms, signs, laboratory exami-nation, imaging characteristics and the nature of the cell pathology examination. The key of diagnosis ids to identify the be-nign and malignant thyroid, which has very important meaning to guide treatment. Benign nodules are treated by surgery, levothyroxine （levothyroxine, L - T4）, 131 I, percutaneous ethanol injection and Chinese medicine treatment. Malignant nodules are cured by surgery, 131 I, inhibit thyroid stimulating hormone （thyroid stimulating hormone, TSH）. Therefore, it is necessary to discuss and study the thyroid nodule diagnosis standards.

关 键 词：甲状腺结节 甲状腺癌 诊疗规范 

分 类 号：R581[医药卫生—内分泌]