中国实用外科杂志

中国实用外科杂志 ›› 2010, Vol. 30 ›› Issue (10): 844-846.

• 专题笔谈 • 上一篇    下一篇

甲状腺结节手术适应证、术式选择及评价

黄    韬   

  1. 华中科技大学同济医学院附属协和医院乳腺甲状腺外科，湖北武汉430022
  • 出版日期:2010-10-01 发布日期:2010-09-28

  • Online:2010-10-01 Published:2010-09-28

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摘要：

甲状腺结节是甲状腺外科的最常见疾病，须根据临床症状、体征、细胞学及相关影像学等检查，综合确定甲状腺结节的绝对和相对手术适应证及相应的切除范围各异的手术方式。目前，甲状腺结节的标准手术方式包括：甲状腺部分切除术、甲状腺大部切除术、甲状腺腺叶切除术、甲状腺近全切除术和甲状腺全切除术，需根据甲状腺结节的大小、位置、良恶性等特性选择适宜的手术切除范围。中国甲状腺外科的发展，需在甲状腺外科专科化和专科医生培养制度进程逐步推进的基础上，使手术方式更为合理，从而使并发症发生风险与复发及再次手术率同步下降。

关键词: 甲状腺结节, 手术适应证, 手术方式

Abstract:

Surgical indications of thyroid nodule and the selection and evaluation of surgical procedures        HUANG Tao. Department of Breast and Thyroid Surgery, Union Hospital, Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430022, China
Abstract    Nodular thyroid disease is common in Department of Thyroid Surgery. Certain clinical, radiographic and cytologic features are associated with the requirement of surgical procedures. A clear understanding of the risk factors and the details of a variety of surgical procedures assists in the decision-making process when evaluating a patient with
thyroid nodules, and ultimately determines whether or not a patient is referred for surgery, and which kind of operation range. In addition, the specialization of thyroid surgery and the establishment of training system of specialist can contribute more appropriate management of patients with thyroid nodules, and promote the reduction of surgical complications and the risk of recurrence and reoperation.

Key words: thyroid nodule, surgical indications, surgical procedures