手术切除亚急性甲状腺炎50例临床病理分析  

Surgical Excision of Subacute Thyroiditis: A Clinical and Pathological Study of 50 Cases

作　　者：廖谦和 安慧敏 

机构地区：[1]沭阳人民医院病理科,江苏 沭阳 [2]温州医科大学附属第三医院病理科,浙江 温州

出　　处：《临床医学进展》2021年第4期1827-1831,共5页Advances in Clinical Medicine

摘　　要：亚急性甲状腺炎在临床上比较少见,容易误诊为甲状腺肿瘤而行手术切除。本文收集了2005年1月至2020年12月在浙江省温州医科大学第三附属医院和江苏省沭阳人民医院收治的50例手术切除的亚急性甲状腺炎病例。对患者的诊断、治疗和病理资料进行总结和分析。男性患者18例,女性患者32例,年龄23~72岁,平均38.3岁,占同期手术切除治疗甲状腺疾病3265例的1.5%。亚急性甲状腺炎是一种自限性疾病,预后良好,绝大多数并不需要采用手术治疗,手术切除或手术扩大化,均可引起一些不良的后果,甚至使病情恶化。本文对临床误诊原因进行分析,以提高对其认识。Subacute thyroiditis is rare clinically, and it is easy to be misdiagnosed as thyroid tumor and excised by surgery. This data collected 50 cases of subacute thyroiditis underwent surgical resection in the Third Affiliated Hospital of Wenzhou Medical University and Shuyang People’s Hospital of Jiangsu Province from January 2005 to December 2020. The diagnosis, treatment and pathological data of the patients were summarized and analyzed. There were 18 male patients and 32 female patients, aged 23~72 years old, with an average age of 38.3 years old, accounting for 1.5% of the 3265 cases of thyroid disease treated by surgical resection in the same period. Subacute thyroiditis is a self-limited disease with a good prognosis. The vast majority of patients do not need surgical treatment. Surgical resection or surgical enlargement may cause some adverse consequences and even worsen the condition. This paper analyzes the causes of clinical misdiagnosis in order to improve the understanding of it.

关 键 词：亚急性甲状腺炎 诊断 治疗 

分 类 号：R58[医药卫生—内分泌]