手术误治甲状腺炎性疾病的经验教训分析

目的总结分析容易误诊为甲状腺肿瘤的甲状腺炎病例的临床特点。方法回顾性分析我科2009-2012年期间19例误诊为甲状腺肿瘤病例的临床资料。结果19例患者全部经历手术，术后8例确诊为慢性淋巴细胞性甲状腺炎，10例确诊为亚急性甲状腺炎，1例为化脓性甲状腺炎。手术术式根据术中病理及病情而有不同，亚急性甲状腺炎患者多予以活检术，慢性淋巴细胞性甲状腺炎多予以峡部切开或楔形切除术。结论非典型甲状腺炎与甲状腺肿瘤的鉴别有时相当困难，但只要其具有非肿瘤特点时临床医师应高度重视，综合判断，可降低误诊率。

Analysis of Patients with Thyroiditis Being Misdiagnosed with Thyroid Tumor

Objective To summarize and analyze the clinical characteristics of patients with thyroiditis who would be misdiagnosed with thyroid tumor easily. Method The clinical data of 19 patients with thyroiditis who were misdiag- nosed with thyroid tumor in our department from 2009 to 2012 were analyzed retrospectively. Results All of 19 patients underwent surgery, among which 8 cases were diagnosed with chronic lymphocytic thyroiditis after operation, 10 cases diagnosed with subacute thyroiditis, and 1 case diagnosed with suppurative thyroiditis. Different surgery program such as the biopsy or wedge resection was adopted to the subacute thyroiditis and the chronic lymphocytic thyroiditis respec- tively. Conclusion Sometimes, it is very difficult to distinguish atypical thyroiditis from thyroid tumor so that we must pay attention to the patients who had nontumorous characteristics in order to decrease the misdiagnosis.