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[半甲状腺切除术作为可疑穿刺细胞学检查的标准干预措施是否合理?]

[Is hemithyroidectomy as standard intervention of suspicious puncture cytology justified?].

作者信息

Friedrich J, Krause U, Schmidt U, Hörmann R, Eigler F W

机构信息

Abteilung für Allgemeine Chirurgie, Universitätsklinikum, Essen.

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1996;113:189-91.

PMID:9101827
Abstract

Since 1989, the operative treatment of 65 patients with suspicious fine-needle aspiration cytology of solitary thyroid nodules has been decided on individual clinical criteria such as the patient's history and morphology of the remaining thyroid tissue. Finally, 9 carcinomas were seen amongst 37 hemithyroidectomy specimens, out of 28 resected thyroid glands 2 were papillary microcarcinomas, whereas the others were benign specimens up until now. Despite a comparatively low perioperative morbidity of the hemithyroidectomy, we see thyroid resections justified in cases of suspicious cytology.

摘要

自1989年以来,根据患者病史和剩余甲状腺组织形态等个体临床标准,对65例孤立性甲状腺结节细针穿刺细胞学检查结果可疑的患者进行了手术治疗。最终,在37例半甲状腺切除标本中发现9例癌,在28例切除的甲状腺中,有2例为微小乳头状癌,而其他标本目前为止均为良性。尽管半甲状腺切除术的围手术期发病率相对较低,但对于细胞学检查可疑的病例,我们认为甲状腺切除术是合理的。

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