文档介绍：胸骨后甲状腺肿切除术的临床体会
【摘要】目的探讨胸骨后甲状腺肿的诊断和手术方式。方法收集1993~2004年间手术及病理证实为胸骨后甲状腺肿8例的临床资料。结果均以颈部低领状切口入路顺利完成手术,术后发生甲状腺危象2例,甲状腺功能减退1例,无喉返神经损伤及其他严重并发症,均临床治愈出院。结论(1)认识腺肿压迫气管引起气管痉挛等继发临床表现,并在围手术期加以控制,包括服碘、抗炎、解痉等药物治疗;(2)颈部低领状切口完全可满足本组胸骨后甲状腺肿切除术的需要。
关键词胸骨后甲状腺肿气管痉挛继发症状颈部切口
Clinical experience of the resection in8cases OF substernal goiter
【Abstract】 Objective To discuss the diagnosis and operation of substernal The clinical data of8cases of substernal goiter which resected and pathologically proved in our department from1993to2004was The resection via lower collar incision were performed essfully in all cases,there were2cases of thyroid crisis and hypothyroidism1case in postoperations,neither incidence recurrent laryngeal nerve paralysis,nor other plications,all cases were (1)Appreciated the pathogeny of secondary symptoms were the goiter pressed upon trachea and caused tracheal spasm etc,and in perioperative stage it c
ould be controlled by use of ,Antibiotics and antispasmodic etc;(2)Lower collar incision pletely the need for ex-tirpation of substernal goiter in this series.
Key words substernal goiter tracheal spasm secondary symptom neck incision
我院自1993年3月~2004年3月共收治胸骨后甲状腺肿8例,%(8/381)。术前这些患者都表现有气管受压痉挛引起剧咳、呼吸困难、或有低氧血症,部分患者伴高血压、心律失常等继发临床表现,但经过充分有效的围手术期的处理,均经颈部切口顺利完成手术并痊愈出院,现报告如下。
1 临床资料
一般资料本组8例患者,其中男3