对外科收治的47例淋巴性甲状腺炎进行临床分析，诊断中前10年均由术中病理切片确诊，误诊率极高；后10年临床怀疑为本病者术前作TGA、TMA检测，误诊及手术率明显下降。TGA、TMA检查具有较好的特异性。治疗结果表明替代疗法长期疗效不理想，易复发。对甲状腺局部结节状肿大或出现合并症的淋巴性甲状腺炎应手术切除，疗效较满意。 47 cases of surgical treatment of lymphatic thyroiditis clinical analysis of the first 10 years of diagnosis by intraoperative biopsy confirmed the high misdiagnosis rate; 10 years after the clinical suspicion of the patient preoperative TGA, TMA detection, misdiagnosis And the surgery rate decreased significantly. TGA, TMA examination has good specificity. Treatment results show that long-term efficacy of alternative therapies are not ideal, easy to relapse. Thyroid local nodular swelling or complications of lymphoid thyroiditis should be surgically removed, the effect is more satisfactory.