关键词: 外科治疗, 桥本氏甲状腺炎, 诊断, 甲状腺结节

Abstract:

【Abstract】〓Objective〓To investigate the clinical dianogsis, operative indication, and surgical treatment of Hashimoto's disease complicated with thyroid nodes. Methods〓Clinical data of 415 patients with Hashimoto's disease complicated with thyroid nodes were retrospectively analyzed. Results The postoperative pathological results were as follow:157 cases of simple hashimoto's thyroiditis,18 cases of simple hashimoto's thyroiditis with hyperthyroidism,146 cases of simple hashimoto's thyroiditis with nodular goiter,31 cases of simple hashimoto's thyroiditis with nodenoma, and 63 cases of simple hashimoto's thyroiditis with thyroid carcinoma. Conclusion〓Hashimoto's disease complicated with thyroid cancer has no typical symptoms and often complicated with other thyroid diseases. Combined examination of anti-thyroid antibodies test, color doppler imaging, CT detection, isotope scan and core /fine needle biopsy may provide accurate diagnosis. Operations should be actively performed on these cases which are likely maligmant or easily to induce compressive symptoms. Proper surgical treatment is effective for Hashimoto's disease complicated with nodes according to the individual conditong. Normal thyroid tissue should be retained as much as possible.

Key words: Hashimoto's disease, Thyroid node, Diagnose, Surgical therapy