Riedel甲状腺炎的临床诊治分析-东南大学学报医学版

Riedel甲状腺炎的临床诊治分析

单位：1. 南京大学医学院附属鼓楼医院耳鼻咽喉头颈外科, 江苏南京 210008;
2. 南京大学医学院附属鼓楼医院病理科, 江苏南京 210008

分类号：R739.91

出版年·卷·期（页码）：2015·34·第一期（88-91）

摘要：

目的:探讨Riedel甲状腺炎的诊断和治疗方法。方法:回顾性分析2007年至2013年期间我科收治的2例和国内外近5年文献报道的38例患者的临床资料。结果:40例患者,多为女性,年龄14~81岁,行单纯药物治疗、手术治疗或综合治疗。结论:Riedel甲状腺炎的临床特征不典型,好发于中年女性,病理组织检查是确诊的主要方法,手术切除病变组织同时配合药物治疗效果较好。

Objective: To discuss the diagnosis and treatment methods for Riedel's thyroiditis.Methods: A retrospective analysis was performed on the clinical dates of 2 cases of Riedel's thyroiditis in our hospital from 2007 to 2013 and 38 cases reported in the literature. Results: Most of them were female in the 40 cases aged between 14-81 years old. They received single medicine, operation or combined therapy. Conclusion: Riedel's thyroiditis is untypical, which has a high rate of occurrence in middle-aged women. It is diagnosed mainly depended on the pathological examination. The therapeutic effect of combined therapy on Riedel's thyroiditis is preferable.

参考文献：

[1] HONG J T,LEE J H,KIM S H,et al.Case of concurrent Riedel's thyroiditis,acute suppurative thyroiditis,and micropapillary carcinoma[J].Korean J Intern Med,2013,28(2):236-241.
[2] WANG C J,WU T J,LEE C T,et al.A misdiagnosed Riedel's thyroiditis successfully treated by thyroidectomy and tamoxifen[J].J Formos Med Assoc,2012,111(12):719-723.
[3] PI G Y,LEE Y S,HONG S W,et al.A case of Riedel's thyroiditis[J].J Korean Surg Soc, 2012,82(5):317-320.
[4] LU L,GU F,DAI W X,et al.Clinical and pathological features of Riedel's thyroiditis[J].Chin Med Sci J,2010,25(3):129-134.
[5] SOH S B,PHAM A,O'HEHIR R E,et al.Novel use of rituximab in a case of Riedel's thyroiditis refractory to glucocorticoids and tamoxifen[J].J Clin Endocrinol Metab,2013,98(9):3543-3549.
[6] DUPRET-BORIES A,CARON P,ROUQUETTE I,et al.Fatal neck necrotizing cellulitis in a patient with Riedel's thyroiditis[J].Thyroid,2013,23(7):904-905.
[7] ERYAMAN E,COMUNOGLU C.Could Riedel's thyroiditis be subacute thyroiditis? A case report [J].Pol J Pathol,2011,62(3):176-178.
[8] ERDOQAN M F,ANIL C,TVRKÜAPAR N,et al.A case of Riedel's thyroiditis with pleural and pericardial effusions[J].Endocrine,2009,35(3):297-301.
[9] LEE D Y,MOON J S,KIM G E,et al.Riedel thyroiditis in a patient with graves disease[J].Endocrinol Metab, 2013,28(2):138-143.
[10] 蔺原.慢性纤维性甲状腺炎10例临床分析[J].四川医学,2012 ,33(8):1453-1454.
[11] 张刚,王道明.慢性纤维性甲状腺炎手术治疗5例临床分析[J].重庆医科大学学报,2013,38(10):1247-1248.
[12] 崔呐,何远翔,王育红.喉返神经监测下甲状腺炎的外科治疗[J].山东医药,2010,50(24):64-65.
[13] 张胜强.Riedel甲状腺炎外科手术治疗临床分析[D].大连:医科大学硕士学位论文,2009.
[14] SCHWAEGERLE S M,BAUER T W,ESSELSTYN C B Jr.Riedel's thyroiditis[J].Am J Clin Pathol, 1988,90(6):715-722.

服务与反馈：

【文章下载】【发表评论】【查看评论】【加入收藏】

提示：您还未登录，请登录！点此登录