摘要
目的以病理学诊断为依据考察我院近10年来手术切除的甲状腺肿结节性病变的发病特点。方法回顾性分析经我院外科手术治疗的257例甲状腺结节性病变的病理学资料。结果女性甲状腺结节病变的发病率高于男性(P=0.044),男女比为1:5.763。男性手术年龄平均高于女性4.12岁;甲状腺结节单纯右叶发病率40.9%、显著高于单纯左叶和双侧(P<0.05;P<0.01)。良性结节常继发囊变、出血、坏死和钙化,腺瘤出血发生率(23.17%)显著低于甲状腺肿(30.36%)(P<0.05),而钙化的发生率(13.41%)显著高于甲状腺肿(5.36%)(P<0.01)。结论甲状腺结节性病变以女性多见;单纯右叶发病居多;良性结节可同时或单独并发囊变、出血、坏死和钙化,腺瘤多并发出血,甲状腺肿多并发钙化。
Objective To investigate the characteristics of thyroid nodular lesions. Methods A retrospective analysis was performed of the pathological data of 257 cases of thyroid nodular lesions treated by surgery in our hospital. Results The incidence of thyroid nodular lesions was higher in female than that in male（P=-0.044）,with the male to female ratio of 1 ： 5.763. The average age of men in surgery was 4.12 years more than that of women. The right lobe incidence of thyroid nodule was higher than that of the left lobe and both lobes （P〈0.05;P〈0.01）. The incidence of adenoma hemorrhage was 23.17%, significantly lower than that（ 30.36% ）of goiter（P〈0.05 ）, and the calcification of the former （13.41%） was higher than that of the latter（5.36% ）（P〈0.01 ）. Conclusion Thyroid nodular lesions are more in female and the incidence of the right lobe accounts for the majority and bleeding,cystic lesions,necrosis and calcification may occur at the same time or separately in benign nodules. Adenomas are more complicated by bleeding and goiter is more complicated by calcification.
出处
《中国现代医生》
2010年第12期114-116,共3页
China Modern Doctor
关键词
甲状腺结节性病变
回顾性分析
Thyroid nodular lesions
Retrospective analysis
