甲状腺结核临床误诊探讨

目的通过对甲状腺结核流行病学特点、临床及病理分型、临床表现、辅助检查提高对甲状腺结核的认识,提高该病的术前诊断率。方法回顾性分析2012年12月四川大学华西医院西藏成办分院收治的1例甲状腺结核患者的临床资料。结果手术行甲状腺右叶峡部切除+左叶近全切除术。术后病理证实为甲状腺结核。结论甲状腺结核发病率低,临床罕见,提高临床医师对甲状腺结核的认知度是避免误诊的关键。细针穿刺细胞学检查(FNAB),抗酸染色及活检组织培养,这是目前术前诊断甲状腺结核最准确和最有效的方法。

Objective Through the clinical and pathological characteristics of epidemiology, classification, clinical manifestation of tuberculosis of thyroid, auxiliary examination to improve the understanding of thyroid tuberculosis, improve the diagnostic accuracy of the disease before operation. Methods A retrospective analysis of the clinical data of 1 cases of thyroid tuberculosis. Results Operation for right lobe thyroid isthmus resection＋left lobe Jinquan resection. Postoperative pathology confirmed thyroid tuberculosis. Conclusion Thyroid tuberculosis low incidence, clinical rare, improve the clinician awareness of tuberculosis of thyroid is the key to avoid misdiagnosis. Fine needle aspiration cytology （FNAB）, acid fast staining and biopsy tissue culture, which is currently the preoperative diagnosis of thyroid tuberculosis the most accurate and effective.