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 :回顾性分析 2 8例手术切除胸骨后甲状腺肿病人的临床资料 ,均经病理证实。结果 :2 8例胸骨后甲状腺肿病人中原发性 3例 ,继发性 2 5例 ;临床表现主要为颈部包块 (2 5例 )、胸闷不适 (2 3例 )和呼吸困难 (8例 )。胸部X线检查结合13 1Ⅰ扫描是术前的重要诊断手段。术后早期发生失语 1例 ,无手术死亡。术后 3例复发。结论 :疑有本病时应行胸部X线检查及13 1Ⅰ同位素扫描以期早期诊断。外科手术是本病唯一有效的治疗方法 。
Objective:To investigate the clinical characteristics,diagnosis and surgical treatment of the substernal goitre.Methods:28 cases of substernal goiter operated were retrospectively analyzed.All were histopathologically proven.Results:This group included 25 secondary cases of cervical goitre and 3 primary cases.The clinical manifestations were cervical mass(25/28),thoracic discomfort(23/28) and dyspnoea(8/28).The preoperative diagnoses were established mainly on the basis of chest X ray combining with ^(131)Ⅰ scan.There was no operative mortality postoperatively, but 1 patient(3.6%)complicated with transient dysphonia and 3 cases relapsed.Conclusion:Chest X ray and ^(131)Ⅰ scan are helpful for making a diagnosis of substernal goiter before operation.Surgical removal of the tumor is the best choice with satisfactory prognosis.
出处
《重庆医科大学学报》
CAS
CSCD
2004年第4期536-537,552,共3页
Journal of Chongqing Medical University
关键词
胸骨后甲状腺肿
甲状腺肿瘤
诊断
治疗
Substernal goiter
Thyroid neoplasms
Diagnosis
Surgical treatment
