【摘要】 报告了1978～1987年,经外科手术治疗拟诊为甲状腺单发结节1350例。男性252例,其中恶性25例,女性1098例,恶性70例。男女比为1∶4.4。发病年龄9～76岁,其高峰男为41～50岁,女为31～40岁。术前扪诊单发结节符合率为87.5%。A型超声检查囊性结节者均为良性、实性结节者中恶性占9.5%、液平较小列为囊实性型,其中恶性5.2%。[¹³¹I]扫描凉冷结节性恶性病变占13.1%。细针抽吸细胞学检查,恶性病变确诊率87.5%,假阳性12.5%。更多还原

【Abstract】 In this paper,1350 patients with solitary thyroid noduleconfirmed by surgical treatment from 1978 to 1987 are reported.Therewere 252 males with 25 malignant and 1098 females with 70 malignant.Thesex ratio of male and female was 1:4.4.The age ranged from 9 to 76years with a peak of 41 to 50 years for men and 31 to 40 years forwomen.The diagnostic accurate rate of preoperative palpation of solitarynodule was 87.5%.With ultrasound A examination,it was proved thatcystic nodules were all benign,9.5% of solid nodules were malignant,5.2% of cystic-solid nodules,which cystic-wall vary in thickness andliquid plane was small,were malignant.According to[¹³¹I]scan,13.1%of cold nodules were malignant.Through diagnostic fine-needle aspira-tion biopsy cytology,the accurate rate for malignant disease was 87.5%with 12.5% pseudo-positive.The authors believe that case history,physical examination,ultrasonography and selected[¹³¹I]scan,whichwere easy,frugal and non-invasive,were the major diagnostic means.Compounding the means with the biological behavior seen durnig theoperation,the diagnostic accurate rate was 97.2%.On treatment,theindication,methods according to the difference of surgical equipment,doctors′skill and the patients′condition were discussed.更多还原