摘要
目的:探讨如何提高甲状腺微小癌(TMC)的临床诊断率。方法:回顾性分析2000-01-2009-12期间经手术和病理检查证实的73例TMC患者的诊断资料,将其分为A、B组,A组为可触及区域淋巴结和(或)甲状腺质硬小结节,共21例;B组为不能触及区域淋巴结和(或)甲状腺质硬小结节,共52例,并对诊断资料进行统计分析。结果:术前及术中明确诊断者有53例,诊断率为73%(53/73),其中A组18例,诊断率为86%(18/21);B组35例,诊断率为67%(35/52);各种辅助检查及术中探查对提高TMC的诊断率相比较差异有统计学意义(P<0.05)。结论:TMC临床漏诊率较高,若主治医师能足够重视,通过术前仔细触诊、相应的辅助检查等有助于提高其临床诊断率。
Objective：To investigate how to improve the rate of clinically diagnosis of thyroid microcarcinoma.Method：Clinically diagnostic data of 73 cases with TMC,operated and confirmed by pathology from Jan.2000 to Dec.2009 were retrospective analyzed,the data were divided into A,B groups,A group（21 cases） can touch the regional lymph nodes and/or thyroid nodule with hard quality;B group（52 cases） can＇t touch the regional lymph nodes and/or thyroid nodule with hard quality,and the data was analyzed by statistical software.Result：Fifty-three cases diagnosed preoperatively and intraoperatively,the diagnosis rate was 73%（53/73）.A group including 18 cases,diagnostic rate was 86%（18/21）;B group including 35 cases,diagnostic rate was 67%（35/52）;A variety of auxiliary examination and intraoperative exploration,etc,was statistically significant for improving the diagnostic rate of TMC.Conclusion：The clinically missed diagnostic rate of TMC was high,but the physician＇s adequate attention,careful palpation before surgery,the corresponding auxiliary inspection measures will help improve the clinically diagnostic rate of TMC.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2011年第9期385-387,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
甲状腺肿瘤
甲状腺微小癌
诊断
thyroid neoplasms
thyriod microcarcinoma
diagnosis
