摘要
本文总结１９８７～１９９１年手术治疗甲状腺结节４４０例，其中单发结节３０３例，多发结节１３７例。男女之比为１：４．５７。良性结节３８３例，腺瘤２２１例（占全组的５０．２％），结节性腺肿１３７例（３１．１％），甲状腺炎２３例（５．２％）。恶性结节５７例（占全组１１．６％），均为甲状腺癌。本组核素扫描冷结节恶性率为２１．９％。全组病例实性结节恶性率为１７．８％，囊性结节恶性率为７．１％。本组资料表明：性别、年龄、结节大小、病史长短与结节良恶性质关系不大。作者对结节发生率、诊断与治疗问题，做了简要讨论。
patients operated upon for thyroid nodules between 1987 and 1991 were analysed.Solitary nodules constituted 303 patients,multinodules 137 patients.4.57:1 female predominace.383 benigh nodules included:221 adenoma patients(represented 50.2% of the total patients),135 nodular goiter,23 thyroiditis patients(31.1%).A11 57 malignant nodule patients(11.6%) were thyroid carcinomas.21% of the 'cool nodules' and 17% of the solid nodules were found to have malignancy.This study showed that malignant nodules did not correlate with sex,age,size of the nodule,length of the case history.The incidence of the thyroid nodule,diagnosis and treatment were briefly discussed in this paper.
