结节性甲状腺肿合并甲状腺微小癌33例临床研究.docVIP

精品论文 参考文献 结节性甲状腺肿合并甲状腺微小癌33例临床研究 彭江涛 [摘 要]目的：研究结节性甲状腺肿合并甲状腺微小癌患者的临床特征，总结临床诊疗要点。方法：选取2010年01月~2013年01月于我院就诊的结节性甲状腺肿合并甲状腺微小癌患者33例，采用回顾性分析法对其临床资料进行分析，了解患者微小癌直径、病灶、形状，给予全部病例手术治疗，记录并发症发生率及复发率。结果：33例患者微小癌直径（0.45plusmn;0.13）cm；囊肿部位位于左侧、右侧、双侧的病例分别为20例、10例、3例；癌灶30例为单发，3例为多发；乳头状癌28例，髓样癌1例，虑泡状癌4例，术后3例患者出现了并发症（3/33，9.09%），1例患者于术后12个月复发（1/33,3.03%）。结论：结节性甲状腺合并甲状腺微小癌多为乳头状癌，手术是治疗结节性甲状腺肿合并甲状腺微小癌的主要方法，患者多预后良好。 [关键词]结节性甲状腺肿 甲状腺微小癌 33例 临床研究 The Clinical Research of 33 Cases of Nodular Goiter with Thyroid Carcinoma Peng Jiangtao Abstract: Objective To study the clinical characteristics of patients with nodular goiter complicated with thyroid Carcinoma and summarize the its clinical diagnosis and treatment. Methods 33 cases of nodular goiter with thyroid carcinoma from January 2010 to January 2013 in the authorrsquo;s hospital were applied retrospective analysis to explore patients diameter, tiny carcinoma lesions and shape. All the patients underwent surgical treatment, and the incidence of complications and recurrence rates were recoeded. Results 33 patients with tiny carcinoma diameter (0.45 + 0.13) cm; location of cyst in the left side, right side and bilateral were found respectively in 20 cases, 10 cases and 3 cases; The cancer was solitary in 30 cases, and multiple in 3 cases; papillary carcinoma in 28 cases, medullary carcinoma in 1 case, alveolar carcinoma in 4 cases; post-operative complications appeared in 3 cases (9.09%, 3/33), postoperative recurrence of 12 months appeared in 1 case( 3.03% , 1/33). Conclusion Most of the cases of nodular goiter with thyroid carcinoma are papillary thyroid carcinoma. Surgery is the main treatment of nodular goiter with thyroid carcinoma, with good prognosis. Key words: nodular goiter; thyroid carcinoma; 33 cases; clinical research DOI:10.3760/cma.j.issn.0376-2491.2014.16.029 作者单位：462000，河南漯河，河南省漯河市中心医院普外二科 　　结节性甲状腺肿合并甲状腺微小癌（直径le;1cm的甲状腺癌[1]）在临床上比较常见，但该疾病缺乏临床特异性，易和结节性甲状腺结节混淆，临床诊疗存在一定难度，本文将研究结节性甲状腺肿合并甲状腺微小癌患者的临床特征，为其临床诊疗提供理论依据，现报