论文部分内容阅读
目的总结艾滋病合并异位甲状腺患者的临床特点,避免误诊。方法回顾性分析2000-2016年收治的7例艾滋病合并异位甲状腺患者的临床资料。结果 7例患者,男3例,女4例;平均(10±1)岁。就诊原因为发现颈部肿物3例,咽异物感2例,外院颈部肿物切除术后2例。5例做出正确诊断;2例外院转诊患者因检查欠仔细,导致误诊,误将甲状腺组织当作肿物切除,患者需口服左甲状腺素钠片替代治疗。结论艾滋病患者合并异位甲状腺是一类特殊的患者,临床多以颈部包块就诊,应仔细检查正常位置是否存在甲状腺,以排除异位甲状腺的可能,避免误诊为淋巴结炎性肿大。彩超、甲状腺核素扫描、甲状腺功能检查、CT及细针穿刺细胞学检查是重要的检查手段。
Objective To summarize the clinical features of patients with AIDS complicated with ectopic thyroid and avoid misdiagnosis. Methods The clinical data of 7 patients with AIDS complicated with ectopic thyroid admitted from 2000 to 2016 were retrospectively analyzed. Results 7 patients, 3 males and 4 females; average (10 ± 1) years old. The reason for the visit was found in 3 cases of neck tumor, 2 cases of foreign body sensation, 2 cases of external hospital neck tumor resection. 5 cases to make the correct diagnosis; 2 cases of referral from outside the hospital due to lack of careful examination, leading to misdiagnosis, mistaken thyroid tissue as a tumor resection, patients need oral levothyroxine sodium replacement therapy. Conclusion The patients with AIDS complicated with ectopic thyroid gland are a special kind of patients. Clinically, they should be treated with the neck mass. Careful examination of the thyroid gland in the normal position should be performed to exclude the possibility of ectopic thyroid gland and avoid misdiagnosis as lymphadenitis. Color Doppler ultrasound, thyroid radionuclide scan, thyroid function test, CT and fine needle aspiration cytology is an important means of inspection.