1500例甲状腺瘤诊治体会

摘要

目的：探讨甲状腺腺瘤的诊断方法及手术方式。方法：分析手术切除病理检查确诊的1500 例甲状腺腺瘤病人的临床资料。结果：综合运用分析病史、体检及B超、核素扫描、细针穿剌细胞学检查和T3、T4等有关检查结果基本可作出诊断，但对小肿瘤的发现及肿瘤性质的确定有时仍有待手术和病理检查。大部分病人采用低位小切口不切断颈前肌群顺利完成手术，腺叶切除病人喉返神经损伤率解剖者0.7%，不解剖者3.3%。结论：部分小肿瘤的发现及肿瘤性质确定有待仔细的手术探查及病理检查，微创伤术式能顺利完成腺叶切除，腺叶切除病人解剖喉返神经优于不解剖。%Objective To evaluate the diagnosis and operational styles of thyroid adenoma.Methods:Analysis of 1500 cases of thyroid adenoma which were diagnosed by pathological methods.Results:Most cases were diagnosed by analysis of history,physical examination,nuclear span,fine needle aspiration and T3,T4.But it had to depend on resection biopsy to determine small tumors.Most operations were completed by low short incisions without severing muscles.The injury rate of recurrent laryngeal nerve was 0.7% for that of dessected cases,3.3% for the no-dissected's.Conclusions:The determination and diagnosis of small tumors depend on surgical exploration and biopsies;Thyroid lobectomy could be compteted through short incision and dissection of recurrent laryngeal nerve during operation is superior to no-dissection method.