Resection of the isthmus and part of the right side of the thyroid, intraoperative biopsy. 甲状腺峡部切除加右侧腺叶部分切除术,术中冰冻。
HD was highly suspected if thyroid adhered to the anterior cervical muscle group, with concomitant hypothyroidism or remarkable thickening of isthmus and pyramidal lobe of thyroid. 结论术中发现甲状腺质脆、水肿较甚,剖面呈新鲜肉芽样改变,特别是与颈前肌群有粘连、伴发甲减或峡部、锥体叶明显肥厚者,应高度怀疑桥本病。