桥本病合并甲状腺功能亢进临床分析

为探讨桥本病合并甲状腺功能亢进的临床特征及其诊断、治疗、预后，对1985～2002年间收治的桥本病176例进行回顾性分析。结果表明，桥本病合并甲状腺功能亢进的发病率为5．1％，桥本病一过性甲状腺功能亢进的发病率16．5％，手术治疗24例，低功5例，提示临床医师应重视桥本病、桥本病一过性甲状腺功能亢进及合并甲状腺功能亢进疾病的认识。诊断性用药、细针穿刺活检、T3、T4及吸碘率的测定对于明确诊断有重要意义，术中直视观察有助于甲状腺功能低下的预防，对一些一过性功能亢进而有呼吸道压迫症状的病人，术中尽量保留正常的甲状腺组织。

Clinical Analysis on Hashimoto's Disease Coexistent with Hyperthyroidism

The purpose is to discuss the relation of clinical invasion between Hashimoto' s disease coexistent with Hyperthyroidism and its diagnose treatment and prognosis. Review to receive 176 Hashimoto's disease during 1985-2002 period.The result show hashimoto's disease, coexistent Hyperthyroidism sick rate: 5. 1 % , Hashimoto' s disease coexistent with temporary Hyperthy -rordism sick rate: 16. 5% , operation treatments are 24 cases, the postoperative Hypothyroidism are 5 cases. The surgeons should pay attention to Hashimoto's disease and Hashimoto's disease coexistent with temporary Hypothyroidism. Diagnostic medicine, fine needle aspiration biopsy, T3,T4 ,TSH and the survey of iodine uptake rate biopsy is helpful for the prevention of the postoperative Hypothyroidism. For the patients who have got respiratory pressure symptom because of temporary Hypothyroidism. The normal thyroid tissue should be maintained as more as possible during operation.