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目的：分析甲状腺结核的诊断与治疗。方法：回顾分析术前拟诊甲状腺癌而术后确诊为甲状腺结核的６例患者的临床资料。结果：通过术中快速冰冻活检确诊甲状腺结核而行单纯病灶清除术或患叶次全及峡部切除术，术后积极抗结核治疗６个月，随访３年以上未见复发。结论：对伴有肺结核病的甲状腺肿块患者应怀疑有此病的可能，可作术前细针穿刺或术中快速活检确诊。治疗上采用抗结核化学疗法；手术时确诊者可行单纯病灶清除或患叶次全切除术，术后积极抗结核可取得良好效果。
Objective: To analyze the diagnosis and treatment of thyroid tuberculosis. Methods: The clinical data of 6 patients with suspected thyroid cancer preoperatively diagnosed as thyroid tuberculosis were retrospectively analyzed. Results: Simple thyroidectomy was confirmed by intraoperative rapid frozen biopsy, or subtotal isthmus and isthmic resection were performed. After active anti-TB therapy for 6 months, no recurrence was observed after 3 years of follow-up. Conclusion: Patients with thyroid mass associated with pulmonary tuberculosis should suspect the possibility of this disease, which can be diagnosed by preoperative fine needle aspiration or intraoperative rapid biopsy. The treatment of anti-tuberculosis chemotherapy; surgery may be diagnosed with simple lesions removed or sub-subtotal resection, positive postoperative anti-tuberculosis can achieve good results.