甲状腺结核误诊分析(附2例报告)

Misdiagnosis analysis of thyroid tuberculosis(Attached:report of 2 cases)

目的:探讨甲状腺结核误诊的原因并从中总结经验教训,降低误诊率。方法:附2例甲状腺结核病例报告,并结合相关文献资料对误诊的原因进行分析。结果:2例均误诊为甲状腺腺瘤,并行甲状腺大部分切除手术、清除病灶,术后均给予抗结核治疗,愈后良好。结论:甲状腺结核临床少见,表现不典型,应提高对该病的认知及重视。

Objective：To explore the causes of misdiagnosis of thyroid tuberculosis and to summarize the experience and les- sons, in order to decrease the rate of misdiagnosis. Methods ： Report of 2 cases with thyroid tuberculosis and the related literature on the causes of misdiagnosis were analyzed. Results： 2 patients were all misdiagnosed as thyroid adenoma, and parallel subtotal thyroid- ectomy operation was performed, lesions were removed, antituberculosis treatment was used after the operation, and prognosis was good. Conclusions： Thyroid tuberculosis is rare in the clinic and its clinical manifestation is not typical, therefore, it should improve the cognition and attention to the disease.