胸骨后甲状腺肿的外科治疗  

Surgical management of retrosternal goiter

作　　者：杨春鹿[1] 李大朋[1] 赵君[2] 杜江[1] 陈晓[1] 张林[1] 

机构地区：[1]中国医科大学附属一院胸外科,辽宁沈阳110001 [2]沈阳市胸科医院胸外科,辽宁沈阳110044

出　　处：《现代肿瘤医学》2008年第8期1292-1293,共2页Journal of Modern Oncology

摘　　要：目的:总结胸骨后各种病理类型甲状腺肿的临床表现、诊断要点和手术方法。方法:回顾性地分析经外科手术病理证实的69例胸骨后甲状腺肿患者的临床资料。结果:全组手术合并症发生率14.47%,1例术后死亡。结论:绝大多数胸骨后甲状腺肿与颈部甲状腺有关,多属结节性甲状腺肿;胸部X线片和胸部CT可以明确诊断;经颈部低位领形切口可完成绝大多数手术。甲状腺未分化癌呈浸润性生长,多不能完全切除。Objective：To analyze the clinical manifestations, diagnostic methods, Surgical management of retrosternal goiter in various pathological types. Methods： Sixty nine cases of retrosternal goiter with surgical intervention and pathological confirmation were analysed retrospectively. Results： The rate for complications was 14.47%. A case dead postoperatively. Conclusion： Correct diagnosis of retrosternal goiter can be made by chest X - ray and chest CT scan. Most cases of retrosternal goiter can be removed by cervical incision. Undifferentiated retrosternal thyroid carcinoma is often invasive, and almost can not be resected satisfactively.

关 键 词：甲状腺肿 胸骨后 甲状腺肿瘤 外科治疗 

分 类 号：R736.1[医药卫生—肿瘤]