首大赵桂丽：甲状腺囊性结节可自愈 但必定要记得按时复查
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 随着健康体检的普及,越来越多的人被<span style="color: black;">发掘</span>有甲状腺结节。<span style="color: black;">因为</span>缺乏足够的<span style="color: black;">认识</span>, 有些<span style="color: black;">病人</span>错误地把甲状腺结节完全等同于甲状腺癌,并为此而惶惶不安。其实,临床上绝大<span style="color: black;">都数</span>甲状腺结节都是良性的,<span style="color: black;">通常</span><span style="color: black;">状况</span>下不<span style="color: black;">必须</span>特殊处理,<span style="color: black;">能够</span>和平共处。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">仅有</span>及<span style="color: black;">少许</span>良性结节<span style="color: black;">必须</span>处理，<span style="color: black;">例如</span>囊性结节。甲状腺囊性结节<span style="color: black;">亦</span>被人们<span style="color: black;">叫作</span>为甲状腺囊肿, 是甲状腺病症中的一种。其中<span style="color: black;">包含</span>有甲状腺肿瘤、甲状腺癌等病症。<span style="color: black;">显现</span>囊性结节，说明甲状腺<span style="color: black;">显现</span>了炎症反应。到了<span style="color: black;">必定</span>程度,可能会使甲状腺的结构组织<span style="color: black;">显现</span>变化。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">绝大<span style="color: black;">都数</span><span style="color: black;">是由于</span>甲状腺肿的结节或腺瘤的退行性变形成的，囊肿内含有血液或微混液体，与<span style="color: black;">周边</span>边界清楚，质地较硬，<span style="color: black;">通常</span><span style="color: black;">没</span>压痛，核素扫描示“冷结节”。<span style="color: black;">少许</span>病人<span style="color: black;">是由于</span>先天的甲状腺舌骨囊肿或第四鳃裂的残余<span style="color: black;">导致</span>。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">平常</span>囊性良性结节的种类</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 单纯囊肿：囊性结节多<span style="color: black;">位置于</span>甲状腺下极,壁很薄,且光滑、规则,囊内为<span style="color: black;">没</span>回声区且透声良好,抽出的液体多为<span style="color: black;">没</span>色透明的液体,液体抽出后薄薄的壁几乎不可见。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">胶质潴留性囊肿：囊肿可<span style="color: black;">位置于</span>甲状腺的任何位置,壁较厚、较规则,内壁回声比较强,囊内<span style="color: black;">没</span>回声区内可见粗大点状强回声,后方伴“彗星尾”征。抽出的液体为黏稠的胶冻样液体。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 结节性甲状腺肿合并<span style="color: black;">流血</span>：结节可<span style="color: black;">位置于</span>甲状腺的任何位置,多伴有<span style="color: black;">短期</span>内肿大并有<span style="color: black;">病痛</span>,<span style="color: black;">非常多</span><span style="color: black;">病人</span>因颈部<span style="color: black;">发掘</span><span style="color: black;">病痛</span>的包块而就诊,超声<span style="color: black;">检测</span>可看到甲状腺内囊实性结节,壁厚且内壁不规则,囊内为不纯液性暗区且可见细点状回声。抽出的液体为陈旧性血性液体。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">结节性甲状腺肿或腺瘤并液化：此类结节<span style="color: black;">通常</span><span style="color: black;">没</span><span style="color: black;">显著</span><span style="color: black;">病痛</span>,颈部可见包块样<span style="color: black;">凸出</span>。超声<span style="color: black;">检测</span>描述类似于结节性甲状腺肿合并<span style="color: black;">流血</span>,但其内抽出的液体为淡黄色。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">身患</span>甲状腺囊性结节<span style="color: black;">病人</span>多有颈部肿块、<span style="color: black;">病痛</span>、异物感等症状。如脖子、颈部变粗；<span style="color: black;">呼气</span>不畅、吞咽困难以及头面部、上肢浮肿，<span style="color: black;">因为</span>肿大甲状腺压迫气管、食管及<span style="color: black;">周边</span>血管所<span style="color: black;">引起</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺肿是甲状腺<span style="color: black;">疾患</span>最<span style="color: black;">平常</span>的现象。一旦<span style="color: black;">发掘</span>甲状腺肿大，<span style="color: black;">必要</span>进一步诊断及<span style="color: black;">评定</span>甲状腺功能<span style="color: black;">可否</span>正常，<span style="color: black;">可否</span>为恶性肿瘤所<span style="color: black;">引起</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">做为</span>一种良性肿瘤，甲状腺囊性结节在正常的<span style="color: black;">状况</span>下<span style="color: black;">亦</span>是<span style="color: black;">能够</span>消失的，<span style="color: black;">由于</span>这种囊性的结节里面<span style="color: black;">无</span>实质的东西，有可能囊里面的液体会<span style="color: black;">逐步</span>被吸收掉。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺囊性结节吸收是好事，<span style="color: black;">然则</span><span style="color: black;">病人</span>最好还是<span style="color: black;">定时</span>的到相关医院进行一下超声<span style="color: black;">检测</span>。虽然甲状腺结节是<span style="color: black;">能够</span>自愈的，可一旦<span style="color: black;">显现</span>钙化<span style="color: black;">状况</span>，最好<span style="color: black;">经过</span>手术进行切除。</p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <span style="color: black;">日前</span>，超声对囊性病变的诊断很<span style="color: black;">靠谱</span>，可是对鉴别良、恶性价值很小。对判别结节<span style="color: black;">体积</span>，鉴别结节部位、引导定位穿刺上<span style="color: black;">特别有</span><span style="color: black;">道理</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 细针穿刺细胞学<span style="color: black;">检测</span>的准确率达70%～90%，对结节处理<span style="color: black;">特别有</span><span style="color: black;">帮忙</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">超声引导下消融治疗是一种微创、<span style="color: black;">精细</span>的治疗<span style="color: black;">办法</span>,能在<span style="color: black;">短期</span>内缩小、吸收,现已<span style="color: black;">作为</span>治疗甲状腺良性结节的微创方式之一。</p>
说得好啊！我在外链论坛打滚这么多年，所谓阅人无数，就算没有见过猪走路，也总明白猪肉是啥味道的。 感谢您的精彩评论，为我带来了新的思考角度。
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