Expression in Diagnosis and Surgical Management for Hashimoto's Thyroiditis (Report of 57 Case)
- VernacularTitle:桥本病诊断与外科治疗
- Author:
Zhong JIA
- Publication Type:Journal Article
- Keywords:
Thyroiditis;
Autoimmune;
Thyroidectomy;
Surgical treatment
- From:
Journal of Medical Research
2006;0(11):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To sum up and investigate the experience in diagnosis and therapeutic procedure for Hashimoto's disease(HD).Methods Clinical datas of 57 patients who were diagnosed clinically as HD admitted to First People's Hospital of Hangzhou from Jan 1996 to Dec 2006 were collected and analyzed.Results 50 females and 7 males,aged 12 to 68 years(average of 43.6 years).Rate of male to female is 1∶14,HD was coexistent with 10.5%(6/5 7)of thyoidgland malignant tumor 19.3%(11/57)of adenoma,14.0%(8/57)of hyperthyroidism,21.1%(11/57)of other systemtic autoimmunity disease and 8.8%(5/57)other rare disease 33.3%(19/57)of them were performed raical operation.The misdiagnosis rate was 21.1%(12/57)and missed diagnosis rate was 22.8%(13/57),The clinical feature of HD for diagnosis and surgical management procedure have been discussed.Conclusions It is emphasized that patients who suspected highly of having HD should be examinated by comprehensive methods,including B-us,lightly color on scintillation scintigraphy,elevation of antimicrosomiauxi and antithyoglobuline,FNAB,operative exploration and biopsy would be helpful.We suggest that the diagnosis of HD may be taken some routinely comprehensive procedure.To date,consecutive therapy and occationly some patients when the disease in coexistence,who ought to be operated correspondingly.
