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甲状腺肿瘤是颈部常见肿瘤,其中孤立性甲状腺结节占36.7％,癌变率为10％～25％。定位诊断后一般均采用患侧甲状腺次全切除术。本组25例采用单侧甲状腺全切除术,有较好的实用价值。疗效满意,报道如下。 1.临床资料 在收治65例甲状腺瘤病人中,25例作患侧甲状腺全切除术(38.5％)。男10例,女15例,男女之比1:1.5,年龄20～74岁,平均42岁。术前B超检查19例,同位素1311扫描12例,CE检查3例。甲状腺肿瘤>1cm 5例,>2cm 8例,>3cm 12例。B超示:实质性肿瘤12例,液性占位7例,~(131)I扫描冷结节9例,温热结节3例。CT检查怀疑甲状腺癌1例。术后病理报告甲状腺腺瘤2例,甲状腺乳头状癌1例,滤泡性腺瘤5例,甲状腺瘤17例,甲状腺瘤囊性变2例,伴乳头样增生。后随访1～7年,无近期和远期的并发症和死亡。
Thyroid tumors are common tumors of the neck, in which isolated thyroid nodules account for 36.7% and cancerous rates are 10% to 25%. After the diagnosis of location, subtotal thyroidectomy is generally used. This group of 25 patients with unilateral total thyroidectomy, has a good practical value. Satisfactory results are reported below. 1. Clinical data Of the 65 patients with thyroid tumors, 25 patients underwent total thyroidectomy (38.5%). There were 10 males and 15 females. The male-to-female ratio was 1:1.5, and the age ranged from 20 to 74, with an average age of 42 years. Preoperative B-ultrasound examination in 19 cases, isotope 1311 scan in 12 cases, CE examination in 3 cases. Thyroid tumors> 1cm in 5 cases,> 2cm in 8 cases,> 3cm in 12 cases. B ultrasound showed: 12 cases of solid tumors, 7 cases of liquid mass, ~ (131) I scan cold nodules in 9 cases, 3 cases of warm nodules. CT examination suspected thyroid cancer in 1 case. Postoperative pathology reported 2 cases of thyroid adenoma, 1 case of thyroid papillary carcinoma, 5 cases of follicular adenoma, 17 cases of thyroid tumor, 2 cases of thyroid tumor cystic change, with papillary hyperplasia. After a follow-up of 1 to 7 years, there were no recent and long-term complications and deaths.