| 胸骨后甲状腺肿26例的诊断与治疗 |
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| 引用本文： | 李长江,袁启东,程相超.胸骨后甲状腺肿26例的诊断与治疗[J].中国基层医药,2010,17(13):1755-1756. |
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| 作者姓名： | 李长江 袁启东 程相超 |
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| 作者单位： | 河南省直第三人民医院胸外科,河南省郑州,450006 |
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| 摘 要： | 目的 探讨胸骨后甲状腺肿的外科治疗方法.方法 回顾性分析26例胸骨后甲状腺肿患者临床资料.结果 26例患者均行手术切除胸骨后甲状腺肿物,20例经颈部低位领式切口,6例经颈部低位领式切口加胸骨劈开.病理证实为结节性甲状腺肿18例,滤泡性腺瘤6例,甲状腺乳头状癌2例.术后出现喉返神经损伤表现2例,术后出血1例,经再次手术止血治愈,无手术死亡病例.结论 颈部低位领式切口入路可以完成大部分胸骨后甲状腺肿的手术切除,经胸手术入路对可疑癌变和巨大肿瘤患者安全可靠.
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| 关 键 词： | 甲状腺肿，胸骨后 甲状腺切除术 |
Diagnosis and surgical treatment of retrosternal goiter |
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| LI Chang-jiang,YUAN Qi-dong,CHENG Xiang-chao.Diagnosis and surgical treatment of retrosternal goiter[J].Chinese Journal of Primary Medicine and Pharmacy,2010,17(13):1755-1756. |
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| Authors: | LI Chang-jiang YUAN Qi-dong CHENG Xiang-chao |
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| Institution: | LI Chang-jiang(Department of Thoracic Surgery,The Third People＇s Hospital of Henan province,Zhengzhou,Henan 450006,China) YUAN Qi-dong(Department of Thoracic Surgery,The Third People＇s Hospital of Henan province,Zhengzhou,Henan 450006,China) CHENG Xiang-chao(Department of Thoracic Surgery,The Third People＇s Hospital of Henan province,Zhengzhou,Henan 450006,China) |
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| Abstract: | Objective To observe the diagnosis and surgical treatment of substemal goiter. Methods The clinical data of 26 cases with substemal goiter underwent thyroidresection were retrospectively analyzed. Results All the 26 cases were treated by operation. 20 cases were operated by Lower collar incision. 6 cases were operated by ster-notomy. The pathological results showed nodular goiter in 18 cases,follicular adenoma in 6 cases,and papillary carcinoma in 2 cases. Conclusions Surgery via cervical collar incision was fit for most of retrostemal thyroid nodules,and sternotomy or thoracotoray were safely fit for large or carcinomatous substemal goiter. Most cases of retrostemal goiter could be removed by Lower collar incision. |
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| Keywords: | Goiter substemal Thyroidectomy |
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