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临床工作中地方性甲状腺肿和桥本氏病的鉴别诊断仍为外科的难题之一,由于诊断的不甚明确同时也给治疗带来了不同程度的困难。特别是桥本氏病人多伴是在术中或手术后才获得正确的诊断,从而给病人带来了不必要手术或甲状腺术后功能低下的痛苦,应用三种方法来区别两病的诊断,借以达到正确诊断和治疗地方性甲状腺肿,提高手术成功率同时降低桥本氏病的手术率和甲状腺功能低下的发生。
The differential diagnosis of endemic goiter and Hashimoto’s disease in clinical work is still one of the difficult surgical problems. The unclear diagnosis also brings different degrees of difficulty to the treatment. In particular, many patients with Hashimoto are in operation or after surgery to obtain the correct diagnosis, resulting in patients with unnecessary surgery or postoperative thyroid dysfunction, the application of three methods to distinguish the diagnosis of the two diseases, In order to achieve the correct diagnosis and treatment of endemic goiter, improve the success rate of surgery while reducing the incidence of Hashimoto’s surgery and hypothyroidism.