中国伤残医学2016，Vol.24Issue(10)：19-21,3.DOI:10.13214/j.cnki.cjotadm.2016.10.010
胸骨后结节性甲状腺肿的外科治疗及并发症防治
Surgical treatment and complications prevention of substernal thyroid goiter
罗东林 1高博 1姜燕 1张姝 1郭翎佶 1田武国 1张晓华 1赵健洁 1严洁1
作者信息
- 1. 第三军医大学大坪医院野战外科研究所乳腺甲状腺血管外科，重庆 400042
- 折叠
摘要
Abstract
Objective:To investigate the surgical treatment and complications prevention of substernal thyroid goiter.Methods: Clinical features of 28 patients with substernal thyroid goiter underwent surgery in our hospital from January 2004 to December 2014 were summa-rized and analyzed.Results:All patients were received surgery, 24 patients underwent cervical collar incision while 4 patients underwent combined cervical-thoracic incision.Postoperative hypocalcemia occurred in 3 patients, hoarseness occurred in 1 patient, tracheomalacia occurred in 5 patients, intraoperative trachea suspension in 4 persons, tracheotomy in 1 person, extubation and discharge after seven days, hypothyroidism occurred in 8 patients.There was no bleeding, thyroid storm and other serious complications.All patients were clinically cured, who were followed up for 6 months to 10 years, no recurrence happened.Conclusion:Cervical collar incision was nearly always adequate for most cases of substernal goiter, if intraoperative operate difficultly, thoracotomy should be chosen immediately.Furthermore, trachea suspension can effectively prevent breathing difficult caused by tracheal collapse.关键词
胸骨后甲状腺肿/手术入路/并发症/预防Key words
Substernal goiter/Operative approach/Complications/Prevention分类
医药卫生引用本文复制引用
罗东林,高博,姜燕,张姝,郭翎佶,田武国,张晓华,赵健洁,严洁..胸骨后结节性甲状腺肿的外科治疗及并发症防治[J].中国伤残医学,2016,24(10):19-21,3.
