长期以来对如何处理单个甲状腺结节有不少争议。作者认为,在制定治疗方案时,应考虑病人的年龄、性别、头颈部的放射史、甲状腺扫描时甲状腺的功能情况以及超声波扫描时结节的性质(实性还是囊性),基于这些发现,医生决定是否需要外科手术或进行甲状腺素抑制治疗。 当患有单个甲状腺结节的病员(不论是成人还是儿童)如有头颈部放射史均应立即转外科手术,在手术前,必须确定是单个甲状腺结节而不是单叶代偿性肥大。 如无即刻手术的指征,应进行甲状腺扫描以确 There is much controversy over how to handle a single thyroid nodule for a long time. In the authors’ opinion, consideration should be given to the patient’s age, gender, radiographic history of the head and neck, thyroid function during thyroid glandography, and nodular nature (solid or cystic) during sonographic scanning. Based on these findings , The doctor decides whether surgery or thyroxine treatment is needed. Patients with a single thyroid nodule (both adults and children) who have a history of head and neck radiation should be surgically treated immediately and must be identified as a single thyroid nodule rather than a single compensatory hypertrophy prior to surgery. If there is no indication for immediate surgery, a thyroid scan should be performed