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目的 :总结桥本病合并甲状腺癌的诊治经验。方法 :回顾我院 1984年 1月～ 2 0 0 1年 6月间 138例桥本病合并甲状腺癌 17例 ,分析两者之间的发病机制和诊治经验。结果 :本组发病率为 12 .32 % (17/138) ,全组病人均出现甲状腺结节 ,17例桥本病病人术后随访平均 6 .8年 ,无死亡及复发 ,预后好。结论 :桥本病临床常见 ,但并发甲状腺癌诊断困难 ,易误诊 ,术前常规测血TGA、MCA、甲状腺核素显影、细针穿刺、术中快速冰冻切片 ,有利于术前、术中确诊 ,并选择正确的手术方式 ,使治疗合理有效。
Objective: To summarize the diagnosis and treatment of Hashimoto’s disease complicated with thyroid cancer. Methods: From January 1984 to June 2001 in our hospital, 138 cases of Hashimoto’s disease complicated with thyroid cancer in 17 cases were retrospectively analyzed. The pathogenesis and diagnosis and treatment experience were analyzed. Results: The incidence of this group was 12.32% (17/138). Thyroid nodules were found in all the patients and 17 patients with Hashimoto ’s disease were followed up for an average of 6.8 years. No death or recurrence was found, and the prognosis was good. Conclusion: Hashimoto’s disease is a common clinical disease, but complicated thyroid cancer is difficult to diagnose, easily misdiagnosed, TGA, MCA, thyroid radionuclide imaging, fine needle aspiration and rapid frozen section during operation are helpful for preoperative and intraoperative diagnosis , And choose the correct surgical approach, so that treatment is reasonable and effective.