59例慢性淋巴细胞性甲状腺炎的临床诊治经验

摘要

Objective To reduce the misdiagnosis of chronic lymphocytic thyroiditis rate, select reasonable treatment. Methods A retrospective summary of 1992~2012 were conducted for atypical chronic lymphocytic thyroiditis in 59 cases. Among the 59 cases, 50 cases received operation, 9 cases didn’t receive operation. Results 29 cases were simple Hashimotos disease, 11 cases were Hashimoto's disease complicated with nodular goiter, 5 cases were Hashimoto's disease coexistent with thyroid adenoma, 3 cases were Hashimoto's disease coexistent with hyperthyroidism, 2 cases were Hashimoto's disease associated with thyroid carcinoma. Conclusion Hashimoto's disease misdiagnosis rate is high, fine needle aspiration biopsy, detection of antibodies to thyroglobulin (TGAB), thyroid dry preparation diagnostic treatment and anti microsomal antibody (TMAB) can effectively improve the correct diagnosis rate.%目的：降低慢性淋巴细胞性甲状腺炎的误诊率，选择合理化治疗。方法回顾性总结1992～2012年间收治的非典型慢性淋巴细胞性甲状腺炎59例。结果59例中50例均手术，9例非手术。术后结果：29例单纯桥本氏病，11例桥本病合并结节性甲状腺肿，5例桥本病合并甲状腺腺瘤，3例桥本病合并甲状腺功能亢进症，2例桥本病合并甲状腺癌。结论桥本氏甲状腺病误诊率较高，细针穿刺活检、检测抗甲状腺球蛋白抗体（TGAB）、甲状腺干制剂诊断性治疗以及抗微粒体抗体（TMAB）能够有效提高正确诊断率。