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| 胸骨后甲状腺肿的诊断和治疗 | |
| 引用本文： | 张志庸,崔玉尚,周易东,李单青,乔力,李泽坚,马宏利,彭殿松. 胸骨后甲状腺肿的诊断和治疗[J]. 中华外科杂志, 2001, 39(4): 291-293 |
| 作者姓名： | 张志庸 崔玉尚 周易东 李单青 乔力 李泽坚 马宏利 彭殿松 |
| 作者单位： | 1. 100730 北京，中国医学科学院北京协和医院胸外科 2. 山东淄博市人民医院 3. 青岛市第三人民医院 |
| 摘 要： | 目的 总结胸骨后各种病理类型甲状腺肿的临床表现、诊断要点、手术方法和预后。方法 回顾性地分析经外科手术病理证实的64例胸骨后甲状腺肿患者的临床资料。结果 全组无手术死亡和住院死亡病例，合并症发生率为15.7%。结论 绝大多数胸骨后甲状腺肿与颈部甲状腺有关。属结节性甲状腺肿；胸部X线平片和胸部CT可以明确诊断；经颈部领形切口可完成绝大多数手术，甲状腺未分化癌呈浸润性生长，多不能完全切除，预后不佳。 |
| 关 键 词： | 胸骨后甲状腺肿 甲状腺肿瘤 诊断 临床方案 外科手术 |
| 修稿时间： | 2000-07-13 |
Diagnosis and surgical management of retrosternal goiter |
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| ZHANG Zhiyong,CUI Yushang,ZHOU Yidong,et al.. Diagnosis and surgical management of retrosternal goiter[J]. Chinese Journal of Surgery, 2001, 39(4): 291-293 | |
| Authors: | ZHANG Zhiyong CUI Yushang ZHOU Yidong et al. |
| Affiliation: | ZHANG Zhiyong,CUI Yushang,ZHOU Yidong,et al. Department of Thoracic Surgery,Peking Union Medical College Hospital,Chinese Academy of Medical Science and Peking Union Medical College,Beijing 100730,China |
| Abstract: | Objective To understand the clinical manifestations, diagnosticmethods, surgical management and prognosis of retrosternal goiter in various pathological types. Methods 64 cases of retrosternal goiter with surgical intervention and pathological confirmation were analysed retrospectively. Results No operative deaths and hospital deaths were noted. The rate for complications were 15.7%. Conclusions Correct diagnosis of retrosternal goiters can be made by chest X-ray and chest CT scan. Most cases of retrosternal goiter can be removed by cervical incision. Undifferentiated retrosternal thyroid carcinoma is often invasive，and almost can not be resected satisfactively. |
| Keywords: | Goiter substernal Thyroid neoplasms Diagnosis Climical protocols |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ | |