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目的：探讨与总结甲状腺肿瘤的手术治疗原则、方式及术后并发症、复发率、癌变率及甲状腺肿瘤的病理类型与治疗关系。方法：采用患侧甲状腺大部分切除，对甲状腺恶性肿瘤根据病理类型不同而采用相应术式。结果：术后复发１７例（４．８％），发生癌变８例（１．１％）。１７例复发病例中，１５例第１次手术方式为单纯瘤核切除。结论：甲状腺肿瘤一经诊断明确就需及时采取手术治疗。对乳头状腺瘤、胎儿型甲状腺腺瘤及腺瘤上皮不典型增生Ⅱ°以上者，要高度重视与选择正确术式，并加强术后随访。
Objective: To explore and summarize the principles, methods and postoperative complications, recurrence rate, canceration rate, pathological types and treatment of thyroid tumors. Methods: Most of the thyroid glands in the affected side were removed. The thyroid malignant tumors were treated according to different pathological types. Results: 17 cases (4.8%) recurred after operation and 8 cases (1.1%) developed cancer. In 17 cases of recurrence, the first operation in 15 cases was a simple nucleotomy. Conclusion: Once the diagnosis of thyroid cancer is clear, surgical treatment should be taken promptly. For papillary adenoma, fetal thyroid adenoma and adenoma epithelial dysplasia II degrees or more, we must attach great importance to and select the correct surgical method, and strengthen postoperative follow-up.