目的 总结桥本氏病的临床诊治经验。方法 分析我院１９８８年１月至１９９８年１２月手术且经病理证实的７８例桥本氏病的临床资料。结果 女７０例，年龄９～７０岁。其中合并甲状腺恶性肿瘤者占１０．３％，合并腺瘤者占２３．１％，合并其他甲状腺疾病者占３０．８％；误诊率为３５．９％，漏诊率为４６．２％。结论 强调当发现甲状腺双侧肿大，临床上扪及包块而Ｂ超未发现包块，甲状腺扫描影淡，甲状腺微粒体抗体及甲状腺球蛋
Objective [WT5”BZ]To sum up experiences in diagnosis and treatment for Hashimoto′s disease (HD). [WT5”HZ]Methods [WT5”BZ]Clinical records of 78 patients who underwent operations and were diagnosed as Hashimoto′s disease by histologic examination in our hospital from Jan. 1988 to Dec. 1998 were analyzed. [WT5”HZ]Results [WT5”BZ]Seventy females and 8 males, aged 9 to 70 years (average of 41.6 years). HD was coexistent with 10.3% of thyroid gland malignant tumor, 23.1% of adenoma and 30.8% of other thhroid gland diseases. The misdiagnosis rate was 35.9% and missed diagnosis rate was 46.2%. The clinical feature of HD and most common cause of misdiagnosis and missed diagnosis have been discussed. [WT5”HZ]Conclusion [WT5”BZ]It is emphasized that patients with diffuse goiter, palpable nodules, lighty color on scintillation scintigraphy, elevation of antimicosomiaux and antithyroglobuline but no finding on B us should be highly suspected of having Hashimoto′s disease.
Chinese Journal of Bases and Clinics In General Surgery