胸骨后甲状腺肿手术分析  

Surgical Treatment of 16cases of Substernal Thyroid Goiter

作　　者：陈治国[1] 陈宝钧[1] 

机构地区：[1]武汉市中心医院胸外科,武汉430014

出　　处：《数理医药学杂志》2010年第3期316-317,共2页Journal of Mathematical Medicine

摘　　要：目的:探讨胸骨后甲状腺肿的外科手术治疗。方法:回顾1997年1月～2006年12月期间手术治疗胸骨后甲状腺肿患者16例,其中8例行颈部低领状切口、8例行颈部低领状切口+胸骨劈开入路切除胸骨后甲状腺肿。结果:16例患者接受手术均获得成功,结节性甲状腺肿9例,甲状腺腺瘤6例,甲状腺炎1例,术后并发症发生率6.25%(1/16),无死亡。结论:经颈部低领状切口切除胸骨后甲状腺肿具有损伤小、操作简单、并发症少的优点。Objective：To explore the surgical therapy of substernal thyroid goiter.Methods：The clinical data of18 cases of substernal thyroid goiter subject to surgical therapy from Jan.1997 toDec.2006 were reviewed.Fourteen cases underwentoperations by cervical collar incision and 2 cases by cervical collar incision plus sternum split.Results：All of the patients achieved good results.Among them,therewere 9 cases ofnodular thyroid goiter,6 cases of thyroid adenoma and 1 cases of thyroiditis approved by pathology.Therewas no death and the incidence ofpostoperative complicationswas6.25%.Conclusion：Surgical therapy of substernal thyroid goiter through cervical collar incisionwas feasible.It had themerits of less invasion,simplemanipulation and less complications.

关 键 词：颈部低领状切口 胸骨后甲状腺肿 外科手术 

分 类 号：R581.3[医药卫生—内分泌]