摘要
目的总结胸骨后甲状腺肿手术治疗经验及疗效。方法胸骨后甲状腺肿86例均行手术切除,其中颈低领式切口83例,颈部切口＋胸骨部分劈开3例。结果均获治愈,术后声嘶4例,除1例为肿瘤侵犯喉返神经所致外,余3例在术后1月内恢复;发生一过性手足抽搐3例,均在2月内恢复。86例均获随访,平均13（6-36）个月,无复发病例。结论经颈部切口切除胸骨后甲状腺肿适合绝大多数患者,术前CT扫描对手术方式的选择具有指导意义。
Objective To summarize the surgical experience and therapeutic effect for intrathoracic goiter. Method The clinical data of 86 intrathoracic goiter cases were analyzed retrospectively, in which 83 received low collar incision, and the other 3 got partial sternotomy in addition. Results All cases healed well. In the 4 patients occurred hoarseness, 3 recovered in one month expect one＇s laryngeal nerve was encroached by cancer. 3 cases suffered transient hypocalcema and healed later in 2 months after operation. All the cases were fol- lowed up for 13 months averagely, and no one recurred. Conclusion Most intrathoracic goiter can be removed successfully through a transcervical approach. CT scanning is valuable in the guide of surgery.
出处
《中国现代手术学杂志》
2008年第2期147-148,共2页
Chinese Journal of Modern Operative Surgery
