上海医药
上海醫藥
상해의약
SHANGHAI MEDICAL & PHARMACEUTICAL JOURNAL
2015年
7期
16-19
,共4页
甲状腺结节%诊断%治疗
甲狀腺結節%診斷%治療
갑상선결절%진단%치료
thyroid nodule%diagnosis%therapy
甲状腺结节是甲状腺疾病的常见表现之一，鉴别其良、恶性非常重要，应依据患者的病史、体征、血清促甲状腺激素（thyroid stimulating hormone, TSH）水平和甲状腺超声检查结果进行初步评估，而细针穿刺细胞学（ifne needle aspiration cytology, FNAC）检查、特别是超声引导下的FNAC检查则是术前评估甲状腺结节良、恶性的敏感和特异性方法。对良性甲状腺结节患者一般需要长期随访，其中对少数患者需要进行包括手术、131I、经皮无水酒精注射或TSH抑制疗法等治疗；对确诊或疑为恶性甲状腺结节患者多直接采用手术治疗。
甲狀腺結節是甲狀腺疾病的常見錶現之一，鑒彆其良、噁性非常重要，應依據患者的病史、體徵、血清促甲狀腺激素（thyroid stimulating hormone, TSH）水平和甲狀腺超聲檢查結果進行初步評估，而細針穿刺細胞學（ifne needle aspiration cytology, FNAC）檢查、特彆是超聲引導下的FNAC檢查則是術前評估甲狀腺結節良、噁性的敏感和特異性方法。對良性甲狀腺結節患者一般需要長期隨訪，其中對少數患者需要進行包括手術、131I、經皮無水酒精註射或TSH抑製療法等治療；對確診或疑為噁性甲狀腺結節患者多直接採用手術治療。
갑상선결절시갑상선질병적상견표현지일，감별기량、악성비상중요，응의거환자적병사、체정、혈청촉갑상선격소（thyroid stimulating hormone, TSH）수평화갑상선초성검사결과진행초보평고，이세침천자세포학（ifne needle aspiration cytology, FNAC）검사、특별시초성인도하적FNAC검사칙시술전평고갑상선결절량、악성적민감화특이성방법。대량성갑상선결절환자일반수요장기수방，기중대소수환자수요진행포괄수술、131I、경피무수주정주사혹TSH억제요법등치료；대학진혹의위악성갑상선결절환자다직접채용수술치료。
Thyroid nodules are common entities and frequently discovered in endocrine clinical practice. The focal point of evaluation is the identiifcation of benign and malignant thyroid nodules. The initial evaluation should include a history and physical examination, serum thyroid stimulating hormone (TSH) and thyroid ultrasonography. Fine needle aspiration cytology is the most accurate and reliable way for diagnosing thyroid malignancy, particularly if performed under ultrasound guidance. Benign thyroid nodules require further long-term follow-up. Therapeutic interventions for benign nodules, when needed, may include surgery,131I therapy, or percutaneous ethanol injection, as indicated. TSH suppressive therapy is currently controversial and usually not recommended. Surgical treatment is recommended for the nodules of conifrmed or suspected malignant.
