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目的:分析甲状腺肿瘤误诊原因,探讨降低临床误诊的措施。方法:回顾性分析我院近10年发生的50例甲状腺肿瘤误诊患者临床资料,对误诊进行分类统计分析,探讨降低误诊率的措施。结果:50例甲状腺肿瘤中,被误诊为结节性甲状腺肿21例,甲状腺腺瘤14例,甲亢15例。所有患者均经术后病理诊断确诊为甲状腺肿瘤。结论:甲状腺癌声像图不典型、甲状腺疾病的多源性、多灶性、对钙化的性质判定存在困难;细针穿刺活检诊断技术难度大,难以掌握,这些因素导致甲状腺肿瘤的术前误诊率较高,适当增加辅助检查项目,结合影像学资料,对疑似病例尽量增加冰冻切片检查,可以降低误诊率。
Objective: To analyze the causes of misdiagnosis of thyroid tumors and to explore ways to reduce the clinical misdiagnosis. Methods: The clinical data of 50 patients with misdiagnosis of thyroid tumor in our hospital in recent 10 years were retrospectively analyzed. The misdiagnosis was classified and analyzed statistically, and the measures to reduce the rate of misdiagnosis were discussed. Results: Twenty thyroid tumors were misdiagnosed as nodular goiter in 21 cases, thyroid adenoma in 14 cases and hyperthyroidism in 15 cases. All patients were diagnosed as thyroid tumors by pathological diagnosis. Conclusion: Thyroid cancer is not typical of the acoustic imaging, thyroid disease, multi-source, multifocal, the nature of calcification difficult to determine; fine needle aspiration biopsy diagnosis is difficult and difficult to grasp, these factors lead to thyroid cancer preoperative misdiagnosis A higher rate, appropriate to increase the auxiliary examination items, combined with imaging data, try to increase the number of suspected frozen section biopsy, can reduce the rate of misdiagnosis.