【摘要】 目的 :探讨甲状腺结核的早期诊断和治疗。方法 :报告 1例误诊长达 7月的甲状腺结核 ,回顾分析国内经针刺细胞学或术后病理确诊为甲状腺结核的 87例患者的临床资料。结果 :15例行针刺细胞学检查 ,余均经手术病理确诊。术前大多数误诊为甲状腺癌、甲状腺腺瘤 ,少数误诊为地方性甲状腺肿、结节性甲状腺肿、甲亢等。结论 :甲状腺肿块伴发热及结核史者应考虑甲状腺结核的可能 ,细针穿刺活检是协助诊断简便有效的方法。病灶清除及抗结核抗药物局部灌洗、正规抗痨治疗预后好更多还原

【Abstract】 Objective:To expore early diagnosis and treatment of tuberculosis of thyroid.Methods:One patient with tuberculosis of thyroid who was misdiagnosed for 7 months was reported,a retrospective analysis of 87 patients with tuberculosis of thyroid gland diagnosed by needle biopsy and postoperative pathologic examination.Results:15 cases were diagnosed by needle blopsy,others by postoperative pathologic examination,most of them were misdiagnosed as thyroid carcinoma,thyroid adenoma,the fewer were misdiagnosed as endemic goiter,nodular goiter,hyperthyroidism.Conclusion:Thyroid node accompanied by fever and pulmonary tuberculosis must be considered of tuberculosis of thyroid,needle biopsy is a convenient and effective method for diagnosis.更多还原