2027例甲状腺结节性病变临床病理分析  

作　　者：奚钦玲[1] 张瑛[1] 吴金祥[1] 魏利[1] 周雪娟 戴军[2] 

机构地区：[1]江苏省原子医学研究所,214063 [2]江苏省江原医院,214063

出　　处：《浙江临床医学》2017年第12期2221-2222,共2页Zhejiang Clinical Medical Journal

摘　　要：目的探讨甲状腺结节性病变患者的临床病理特点。方法回顾性分析2016年住院治疗的2027例甲状腺结节性病变的，临床病理特点。结果男女发病比例1：3．13；男性患者平均年龄48．02岁，女性患者平均年龄47．83岁；发病部位的分布右叶〉双叶〉左叶〉峡部；良性甲状腺结节常发生囊性变（18．44％）、出血囊性变（7．81％）、钙化（5．98％）；恶性甲状腺结节性病变存在淋巴结转移的可能，淋巴结转移发生率为40．73％，发生淋巴结转移的，中央区〉颈侧。结论女性甲状腺结节性病变发病率高于男性，青年人的恶性病变发病率更高，恶性病变发病率女性高于男性，淋巴结转移率男性高于女性。Objective To investigate the clinical and pathological features of patients with thyroid nodular lesions. Methods The clinical and pathological features of 2027 patients with thyroid nodular lesions treated in 2016 were analyzed retrospectively. Results The male to female ratio was about 1 ： 3.13. The average age of men was 48.02, and 47.83 of women. The incidence of thyroid nodule from high to low was the right lobe, both lobe, the left lobe and the isthmus of thyroid. Cystic lesions, bleeding or calcification might occur at the same time in benign nodular lesions of thyroid. Lymphnode metastasis might occur at the same time in malignant nodular lesions of thyroid （ 40.73% ） , and the rate of the central lymphnode metastasis was higher than the neck area. Conclusion The rate of thyroid nodular lesions of females is higher than that of males. Malignant nodular lesion are more common among youth people and females. But the rate of lymphnode metastasis of males is higher than that of females.

关 键 词：甲状腺 结节性病变 病理 

分 类 号：R653[医药卫生—外科学]