胸骨后甲状腺肿的手术治疗28例  

28 Cases of Surgical Treatment of Substernal Goiter

作　　者：李建瑞[1] 陈瑛[2] 潘新良[2] 解光[2] 许风雷[2] 

机构地区：[1]北京市垂杨柳医院耳鼻咽喉科,北京100022 [2]山东大学齐鲁医院耳鼻咽喉--头颈外科,济南250012

出　　处：《同济大学学报（医学版）》2006年第6期73-74,共2页Journal of Tongji University(Medical Science)

基　　金：国家自然科学基金资助项目(30360109)

摘　　要：目的探讨胸骨后甲状腺肿的手术治疗方法及入路。方法回顾性分析28例胸骨后甲状腺肿的临床资料,25例行颈部低位领式切口,3例行颈部领式切口+胸骨劈开入路。结果28例患者接受手术治疗均获得成功,术后病理示结节性甲状腺肿22例,甲状腺腺瘤6例。术后并发症发生率11％(3／28),无死亡。随访3年以上,未见复发与癌变。结论颈部低位领式切口切除胸骨后甲状腺肿损伤小,容易操作,安全可靠。Objective To study the surgical approaches and operative techniques for substemal goiter. Methods A retrospective study of 28 cases with substemal thyroid nodules was made. Resection via cervical collar incision was adequate in 25 cases. 3 substemal thyroid nodules were resected completely by combined thoracotomy and cervical collar incision. Results Twenty- eight substemal thyroid neoplasms had been successfully removed. Among them there were 22 goiters, 6 adenomas. The complication incidence was 11% （3/28）. The overall follow - up was more than 3 years . There was no recrudescence. Conclusion Resection via cervical collar incision for retrostemal thyroid nodules is safe , reliabale and easy to operate.

关 键 词：甲状腺肿 胸骨后 外科手术 

分 类 号：R653[医药卫生—外科学]