胸骨后甲状腺肿的手术治疗28例

目的探讨胸骨后甲状腺肿的手术治疗方法及入路。方法回顾性分析28例胸骨后甲状腺肿的临床资料，25例行颈部低位领式切口，3例行颈部领式切口＋胸骨劈开入路。结果28例患者接受手术治疗均获得成功，术后病理示结节性甲状腺肿22例，甲状腺腺瘤6例。术后并发症发生率11％（3／28），无死亡。随访3年以上，未见复发与癌变。结论颈部低位领式切口切除胸骨后甲状腺肿损伤小，容易操作，安全可靠。

28 Cases of Surgical Treatment of Substernal Goiter

Objective To study the surgical approaches and operative techniques for substemal goiter. Methods A retrospective study of 28 cases with substernal thyroid nodules was made. Resection via cervical collar incision was adequate in 25 cases. 3 substernal thyroid nodules were resected completely by combined thoracotomy and cervical collar incision. Results Twenty- eight substemal thyroid neoplasms had been successfully removed. Among them there were 22 goiters, 6 adenomas. The complication incidence was 11% (3/28). The overall follow - up was more than 3 years .There was no recrudescence. Conclusion Resection via cervical collar incision for retrosternal thyroid nodules is safe , reliabale and easy to operate.