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作者发现在医学文献中很少论述妊娠期甲状腺肿瘤的处理,因此认为有必要提出一种为人们能接受的、有关妊娠期甲状腺肿瘤治疗的标准方案。1982～1985年作者共收治妊娠期甲状腺肿瘤妇女28名及产后6个月内发生明显甲状腺结节病变患者2名。平均年龄20～34岁,均有甲状腺肿大,26例甲状腺肿块为弧立性的,2例为多结节状。29例病人的甲状腺功能正常。肿块出现时间,11例在妊娠早期,18例在妊娠晚期,产后2例。25例接受甲状腺肿物针吸穿刺活检,均提示持续的结节性增生性改变。
The authors found that the treatment of thyroid tumours during pregnancy is rarely discussed in the medical literature, and it is therefore considered necessary to propose a standard protocol for the treatment of thyroid tumours during pregnancy that is acceptable to humans. From 1982 to 1985, the authors treated 28 women with gestational thyroid tumors and 2 patients with significant thyroid nodules within 6 months postpartum. The average age was 20 to 34 years old, all had goiter, 26 cases of thyroid tumors were sporadic, and 2 cases were multinodular. Twenty-nine patients had normal thyroid function. The time of tumor appearance was 11 cases in early pregnancy, 18 cases in late pregnancy, and 2 cases after delivery. Twenty-five patients who underwent thyroid needle aspiration biopsy showed persistent nodular hyperplasia.