侵袭性甲状腺炎的回顾性研究

Retrospective Study about Invasive Fibrous Thyroiditis

目的由于侵袭性甲状腺炎在临床上极为少见,在手术前很难得有明确的诊断,误诊率高,通过总结,对该病在临床上能够有进一步认识,并进行正确的治疗。方法通过对我院1965年6月至2006年11月以来的11例侵袭性甲状腺炎的病例回顾性研究,从对发病原因、临床特点以及治疗方法进行探讨和总结。结果本组病例中,手术前均诊断为甲状腺肿瘤,手术中冰冻病理也仅有4例明确诊断为侵袭性甲状腺炎,11例病例均行手术治疗,手术后长期随访中恢复良好,没有复发。结论侵袭性甲状腺炎虽然不易与甲状腺肿瘤进行鉴别,但是在临床上仍然有其自身的特点,并能够在一定程度上提高该病的术前诊断率。手术治疗是对该病最有效的治疗方法。

Objective： invasive fibrous thyroiditis is rare, and it＇s difficult to get eorreet diagnosis, through sum up these eases, we can get more clinical information of this disease, and have possible to get correct diagnosis. Methods： We retrospect 11 eases of invasive fibrous thyroiditis which are from 1965 to 2006, and sum up the pathogeny, clinical character and therapy of this disease. Results： All of these 11 eases were diagnosis with thyroid tumour preoperation, and only 4 eases were diagnosis with Riedel＇ s thyroiditis by frozen pathology. All the 11 eases underwent operation and outcome was favorable in all the eases with fol- low up. No recrudescence appeared. Conelusion： Though it is difficult to distinguish from thyroid tumour, it still has the clinical of itself whiteh has helpful in diagnosis of this disease. Preoperation operation is the most effective treatment strategies in dealing with invasive fibrous thyroiditis.