Riedel甲状腺炎的临诊应对  

Approach to the patient with Riedel thyroiditis

作　　者：臧丽[1] 田志刚[3] 窦京涛[1] 刘爱军[2] 杨国庆[1] 金楠[1] 谷伟军[1] 巴建明[1] 吕朝晖[1] 母义明[1] 

机构地区：[1]解放军总医院内分泌科,北京100853 [2]解放军总医院病理科,北京100853 [3]山西省晋城市晋煤集团总医院

出　　处：《中华内分泌代谢杂志》2015年第8期725-728,共4页Chinese Journal of Endocrinology and Metabolism

摘　　要：Riedel甲状腺炎是甲状腺炎中较为罕见的一种类型，发病机制不明，起病隐匿，常无特异性临床表现，患者多因甲状腺肿大、甲状腺周围组织器官受累出现临床症状而就诊，甲状腺功能多正常，临床上常因认识不足误诊为其它类型甲状腺炎或甲状腺恶性肿瘤，组织病理学检查为诊断的金标准。甲状腺周围组织器官受累症状明显者可行甲状腺峡部楔形切除术，如术后疾病进展可试用糖皮质激素或他莫西芬治疗。本文详细分析1例Riedel甲状腺炎的诊断和治疗过程，引起临床医师对Riedel甲状腺炎诊治的重视。Riedel thyroiditis is an extremely rare form of thyroiditis, the etiologic mechanism remains obscure. It often onsets insidiously and has non-specific clinical manifestations, most of the patients visit doctor because of goiter and clinical manifestation caused by involvement of the surrounding tissue and organs, histopathological examination is the gold standard for diagnosis. Riedel thyroiditis can be easily confused with the other common thyroiditis and thyroid malignant tumor due to lack of understanding of Riedel thyroiditis. Thyroid isthmus wedge resection is recommended if symptoms of oppression are obvious, glucocorticoid or tamoxifen treatment can be used after the operation if Riedel thyroiditis still progresses. Here we present a case of Riedel thyroiditis with diagnosis and treatment in order to call attention to the diagnosis and treatment of this disease.

关 键 词：RIEDEL甲状腺炎 纤维化 自身免疫性疾病 

分 类 号：R581.4[医药卫生—内分泌]