术中发现气管憩室2例病例报告并文献复习  

Tracheal diverticula discovered during surgery:a report of 2 cases and literature review

作　　者：贺文 顾建华 邢戌健 翁子毅 费健[3] HE Wen;GU Jianhua;XING Xujian;WENG Ziyi;FEI Jian(Department of General Surgery,Shanghai International Medical Center,Shanghai 201315,China;Department of General Surgery,Punan Branch of Renji Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200125,China;Department of General Surgery,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China)

机构地区：[1]上海国际医学中心普外科,上海201315 [2]上海交通大学医学院附属仁济医院(浦南分院)普外科,上海200125 [3]上海交通大学医学院附属瑞金医院普外科,上海200025

出　　处：《外科理论与实践》2023年第4期383-387,共5页Journal of Surgery Concepts & Practice

摘　　要：分析甲状腺肿瘤相关诊疗中气管憩室易漏诊或误诊的原因,加强对该疾病临床特点的认识。检索国内、外近20年相关文献,分析类似病例中发生误诊、漏诊的原因,并就解剖学、鉴别诊断、检查方式进一步剖析。同时对近期2例在术中发现的气管憩室临床病例与其相关的临床资料进行回顾性分析。气管憩室易与甲状腺肿物相混淆,被误诊的原因如下:气管憩室在大多数病人中并无症状;有症状的气管憩室与甲状腺结节也有着类似的临床症状;许多气管憩室的影像学表现缺乏特征性。普外科医师应提高对气管憩室的认知、提高临床工作的警惕性;应将颈部CT列为甲状腺腺叶切除相关手术术前的常规检查。To analyze the reasons why tracheal diverticula is easy to be missed or misdiagnosed in the diagnosis and treatment of thyroid tumors,and to strengthen the understanding of the clinical characteristics of the disease.The reasons of the misdiagnosis and missed diagnosis in similar cases were analyzed,and the anatomy,differential diagnosis,and examina⁃tion methods by reviewing the relevant literature in the past 20 years were further analyzed.At the same time,a retrospec⁃tive analysis was carried out on two recent clinical cases of tracheal diverticula discovered during surgery.Tracheal diver⁃ticula is easily confused with thyroid tumor and may be misdiagnosed for the following reasons:tracheal diverticula is as⁃ymptomatic in most patients;symptomatic tracheal diverticula has similar clinical symptoms to thyroid nodules;lack of character in imaging findings.General surgeons should improve their awareness and vigilance of tracheal diverticula.Neck CT should be listed as a routine examination before thyroid⁃related surgery.

关 键 词：气管憩室 甲状腺肿瘤 甲状腺癌根治术 

分 类 号：R736.1[医药卫生—肿瘤]