摘要
目的探讨异位甲状腺的临床特征及诊断,以避免其误诊、误治。方法回顾分析4例异位甲状腺的临床资料。结果①4例患者均为女性,发病年龄15～36岁,其中1例于甲状腺部分切除术后诱发症状。②气管内及舌异位甲状腺多表现为呼吸道阻塞及刺激症状。③B超示正常甲状腺存在或缺如,核素扫描对异位甲状腺可显示或不能显示,CT平扫异位甲状腺CT值变化较大。④1例经手术切除治愈,1例予甲状腺素口服症状好转,2例未予特殊治疗。结论异位甲状腺症状与激素水平改变有关,临床症状无特异性。单靠B超、CT或核素扫描不易诊断异位甲状腺,必须相互结合,治疗应个体化。
Objective To explore the clinical feature and diagnosis of ectopic thyroid in order to reduce the misdiagnosis and erroneous treatment. Methods The clinical data of 4 cases of ectopic thyroid were retrospectively analyzed. Results All the patients were females aged 15～36 years old, one of which had symptoms caused by partial thyroidectomy. Endotracheal ectopic thyroid and tongue ectopic thyroid were manifested by airway obstruction and respiratory tract irritation. B ultrasound and Radionuclide scan did not reflect the normal thyroid and ectopic thyroid. The CT value was higher in scanning the ectopic thyroid. One patient undergoing excision was cured, another patient’s symptom was improved through oral thyroxine, and 2 patients were not treated with special treatment. Conclusion he symptom of ectopic thyroid is related to the alteration of hormone levels. The clinical symptoms of ectopic thyroid are varied and non-specific. It is difficult to diagnose the disese only by B ultrasound or Radionuclide scanning.
出处
《海南医学》
CAS
2012年第11期49-51,共3页
Hainan Medical Journal
关键词
异位甲状腺
诊断
治疗
Ectopic thyroid
Diagnosis
Treatment
