| 胸骨后甲状腺肿的诊断与治疗 |
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| 引用本文： | 卢秀波,殷德涛,王庆兆,邱新光.胸骨后甲状腺肿的诊断与治疗[J].郑州大学学报(医学版),2002,37(4):419-421. |
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| 作者姓名： | 卢秀波 殷德涛 王庆兆 邱新光 |
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| 作者单位： | 郑州大学第一附属医院普通外科,郑州,450052 |
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| 基金项目： | 河南省科技攻关资助项目 199932 0 0 0 9 |
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| 摘 要： | 目的：探讨胸骨后甲状腺肿的诊断与治疗方法。方法：回顾性分析35例胸骨后甲状腺肿并结合文献就诊断与治疗进行讨论。结果：本组最常见的症状为颈部肿块，术前胸部X线、CT检查的确诊率分别82.9％（29/35）和100%(35/35).94%(34/35)病例采用经颈部低领状切口手术，全组无手术死和严重并发症。结论：胸骨后甲状腺肿瘤确诊后应及早手术治疗，且大部分病例均可均颈部低领状切口进行。
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| 关 键 词： | 胸骨后 甲状腺肿瘤 诊断 治疗 |
| 修稿时间： | 2002年3月18日 |
Diagnosis and surgical treatment of substernal goiter |
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| LU Xiubo,YIN Detao,WANG Qingzhao,QIU Xinguang.Diagnosis and surgical treatment of substernal goiter[J].Journal of Zhengzhou University: Med Sci,2002,37(4):419-421. |
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| Authors: | LU Xiubo YIN Detao WANG Qingzhao QIU Xinguang |
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| Institution: | LU Xiubo,YIN Detao,WANG Qingzhao,QIU Xinguang Department of General Surgery,the First Affiliated Hospital,ZhengZhou University,ZhengZhou 450052 |
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| Abstract: | Aim: To discuss the diagnosis and treatment of substernal goiter. Methods: A total of 35 cases of substernal goiter were analyzed retrospectively and a review of the literature was performed. Results: The most common symptom was cervical mass (91%) and the accuracy of diagnosis for chest X-ray and chest CT scan was 82.9%(29/35)and 100%(35/35)respectively. Substernal goiters were removed by collar incisions in 94%(33/35)of the cases. No mortality severe or complications were observed in all the patients. Conclusion: The presence of substernal goiter is an indicatior for removal and most substernal goiters can be simply resected through cervical incision. |
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| Keywords: | substernal thyroid neoplasm diagnosis treatment |
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