甲状腺结节发病机制与中西医治法研究进展  

Research Progress on the Etiology of Thyroid Nodules and the Treatment Methods of Chinese Medicine and Western Medicine

作　　者：李雨竹 石倩玮[1] LI Yuzhu;SHI Qianwei(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《辽宁中医药大学学报》2024年第6期182-186,共5页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：西藏自治区自然科学基金项目[XZ2019ZR-ZY02(Z)]。

摘　　要：近年来甲状腺结节疾病高发,该病是由甲状腺细胞的局部异常生长而引起的散在病变,中医称其为“瘿病”。其现代医学病因尚不明确,目前认为可能与雌激素的增殖效应、肥胖、糖尿病、遗传基因等因素有关。中医病因病机可概括为肝郁气滞、痰瘀互结、冲任失调三大类,分别对应囊性结节、增生性结节、甲状腺结节伴乳腺结节。在临床治疗方面,中医根据体质辨识,发现甲状腺结节患者最常见的中医体质类型为气郁质、气虚质、阳虚质、湿热质,可采用疏肝解郁、温阳补气、调补冲任等方法辨证论治。现代医学治疗手段主要有外源性补充左旋甲状腺素、甲状腺切除术、微波及射频消融等。探索现代中西医治疗甲状腺结节的方法具有重要意义,在查阅大量文献的基础上,作者从多方面对甲状腺结节中西医研究进展进行了梳理,以期为进一步提高甲状腺结节临床疗效提供参考。The detection rate of thyroid nodule disease has increased in recent years,the disease is caused by the local abnormal growth of thyroid cells and in lesions.Chinese medicine calls it“Ying”disease.Its etiology is not clear yet,may be related to the proliferative effect of estrogen,obesity,diabetes,genetic factors and so on.The etiology and pathogenesis of TCM can be summarized as stagnation of liver Qi,syndrome of intermin-gled phlegm and blood stasis、incoordination between the Chong and Ren meridians.Corresponding to cystic nodules,hyperplastic nodules,thyroid nodules with breast nodules.In clinical treatment,according to constitution identification,TCM found that the most common constitution types of thyroid nodule patients were Qi stagnation,Qi deficiency,Yang deficiency and damp-heat.Methods such as soothing the liver for depression,warming Yangqi,regulating the Chongren and so on can be used for treatment.Western medical treatment methods mainly include exogenous L-thyroxine supplementation,thyroidectomy,microwave and radiofrequency ablation.It is of great significance to explore the methods of Chinese and Western medicine in the treatment of thyroid nodules.Based on a large number of literatures,the author reviewed the progress of Chinese and Western medicine research on thyroid nodules from various aspects,in order to provide references for further improving the clinical efficacy of thyroid nodules.

关 键 词：甲状腺结节 发病机制 治疗方法 中西医 

分 类 号：R265[医药卫生—中医外科学]