摘要
目的探讨桥本甲状腺炎（Hashimoto thyroiditis, HT）和亚急性甲状腺炎（subacute thyroiditis，SAT）的诊断和治疗。方法对我院于2000-2005年外科治疗的100例病理诊断桥本甲状腺炎和亚急性甲状腺炎进行回顾性分析，其中桥本甲状腺炎71例，亚急性甲状腺炎29例。结果71例HT经手术治疗和补充甲状腺素治疗后患者恢复良好，无并发症发生。29例SAT经手术证实诊断后应用肠溶阿司匹林和甲状腺素治疗，效果确切。结论（1）重视亚急性甲状腺炎的临床表现，避免误诊造成的不必要的手术治疗。（2）肠溶阿司匹林结合甲状腺素药物治疗亚急性甲状腺炎可取得良好结果。（3）对于内科治疗效果欠佳的桥本甲炎，可考虑外科手术干预，同时可发现和治疗并存疾病。（4）对部分桥本甲状腺炎施行甲状腺近全切除术，术后辅助甲状腺素替代治疗是可行的，可达到满意疗效。
Objective To study the diagnosis and treatment of Hashimoto thyroiditis（HT） and subacute thyroiditis （SAT）.Methods 100 eases of HT and SAT were retrospectively analysed from 2000 to 2005. Results 71 cases of HT were eliniealy cured with surgery and L - T4 after operation. 29 cases of SAT with pathological diagnosis were cured with Aaspirin and L - T4. Conclution ①Pay attention to clinical manifestations, in order to avoid unnecessary surgery treatment; ②SAT can be cured with Aspirin and L - T4; ③ If HT can not get satisfaetioral result with internal medicine, surgery treatment can be considered and surgery treatment can be used to find and treat the combined disease, ④ HT can be eliniealy cured with surgery and L - T4 after operation.
出处
《中国地方病防治》
北大核心
2006年第5期314-316,共3页
Chinese Journal of Control of Endemic Diseases
