【摘要】 目的分析长春地区结节性甲状腺肿的临床特点。方法回顾性分析经我院基本外科手术治疗的 4 4 5 3例结节性甲状腺肿病例的临床资料。结果结节性甲状腺肿占同时期实施各种甲状腺手术的 4 4 4 8% ;男女性别比为 1∶4 95 ;男性患者手术年龄平均高于女性 1 70岁 ;结节性甲状腺肿临床诊断正确率为 71 95 % ,易误诊为甲状腺腺瘤和甲状腺囊肿 ;甲状腺右叶发病率显著高于左叶 ;3 6 6 %结节性甲状腺肿病例发生恶变。结论长春地区为缺碘地区 ;女性患者妊娠、哺乳和月经与结节性甲状腺肿发病有关 ;结节性甲状腺肿与甲状腺癌发病有关。更多还原

【Abstract】 ObjectiveTo investigate the clinical characteristics of nodular goiter in Changchun area. Methods An retrospective analysis was made on 4 453 cases of nodular goiter proved by pathology in a period of 39 years. Results Surgery performed for nodular goiter accounted for 44.48% of all thyroid operations, with a rate of male to female of 1∶4.95. The male patients were significantly older than female. The correct diagnosis rate of nodular goiter was 71.95%, thyroid adenoma and thyroid cyst were common misdiagnosis. The right lobe was more subject to thyroid goiter than the left one, and canceration developed in 3.66% of all nodular goiter. Conclusions Changchun is an area of iodine deficiency. There are close relations between pregnancy, lactation, menses and the development of nodular goiter. Nodular thyroid goiter is subject to canceration.goit更多还原