胸骨后甲状腺肿的外科治疗  

Surgical management of substernal struma

作　　者：罗锋[1] 宋小元[1] 余欣[1] 马洪飚[1] 王睿[1] 

机构地区：[1]重庆市中山医院胸外科,重庆400013

出　　处：《内分泌外科杂志》2007年第1期46-47,34,共3页

摘　　要：目的：探讨胸骨后甲状腺肿的临床特点、诊断与外科治疗。方法：回顾分析经术后病理证实为胸骨后甲状腺肿14例的临床资料。结果：14例胸骨后甲状腺肿均为坠人性，良性病变12例，甲状腺癌2例，9例颈部低位领式切口；5例颈部低位领式切口辅以正中切口，其中2例仅胸骨上段劈开；3例胸骨全劈开。喉返神经损伤1例。结论：胸骨后甲状腺肿一经确诊，均应手术治疗。只要正确选择手术入路，术中仔细操作，都可避免严重手术并发症，取得良好的治疗效果。Objective： To study the clinical features, diagnosis and surgical therapy of substernal struma. Methods： 14 cases with substernal struma identified by histology were retrospectively analyzed. Results： All of the 14 cases were intrathoracic substernal struma, and among them 12 cases were benign and 2 cases were thyroid carcinoma. 9 cases were operated via cervical collar incision, 5 cases via cervical collar incision with additional median sternotomy, 2 of them via only the superior sternum cleft and 3 total sternum cleft. There was only one complicated with recurrent laryngeal nerve injury. Conclusion： Once the diagnosis of substernal strmna is confirmed, the surgical therapy should be considered. The serious complications can be avoided and achieve good effect as long as the operation way is correct.

关 键 词：胸骨后甲状腺肿 外科治疗 

分 类 号：R65[医药卫生—外科学]