甲状腺结核误诊4例分析并文献复习

Analysis of Misdiagnosis of 4 Cases of Tuberculosis of Thyroid and Literature Review

目的:探讨甲状腺结核误诊的原因及诊断、治疗方法。方法:报道4例甲状腺结核,结合文献就其误诊的原因及诊断、治疗进行分析。结果:2例误诊为甲状腺腺瘤,1例误诊为甲状腺癌,1例漏诊。分别行甲状腺部分切除、病灶清除及腺叶切除术,术后予以正规抗痨治疗治愈。结论:甲状腺结核临床表现不典型,应加强对本病的认识。针刺细胞学检查有助于甲状腺结核的诊断。治疗首选药物抗痨。

Objective：To investigate the cause of misdiagnosis and the diagnosis and treatment of tuberculosis of thyroid. Methods：Four cases of tuberculosis of thyroid were reported and the related literature was reviewed ,as well as the causes of misdiagnosis and the diagnosis and treatment were discussed, Results ：Two cases were misdiagnosis as thyroid adenoma and one case as thyroid carcinoma,while one case was missed diagnosis. Part of resection, local excision, and lobectomy was performed respectively,with all the patients were treated with anti-tuberculosis drugs and were recovered, Conclusion：The atypical manifestation of tuberculosis of thyroid suggested that it is important to reinforce the knowledge of this disease. Cytological examination by fine-needle aspirate biopsy was helpful to diagnosis, The first choice was treatmentwith anti-tuberculosis drugs.