胸骨后甲状腺肿的诊断与外科治疗(综述)

胸骨后甲状腺肿是最常见的上纵隔占位性病变。胸骨后甲状腺肿多是因胚胎时期甲状腺异常生长发育而导致的位置及形态的异常,一般位于气管和胸骨间的前上纵隔处生长,部分可生长于咽后间隙。由于其恶变可能性大,且压迫症状影响器官功能,一旦发现通常采取手术治疗。目前大多数主要采用低领式切口路径切除胸骨后甲状腺。胸骨后甲状腺的诊断及治疗并不复杂,如何早期发现疾病,把握不同手术适应证是我们主要探讨的问题。

The diagnosis and surgical treatment of substernal goiter

Substernal goiter is the most common space-occupying lesions in the mediastinum.Substernal goiter is due to the abnormal growth and development of thyroid and the position and shape of anomalies in the embryonic pe- riod,generally it grows in the the mediastinum The trachea between the trachea and sternum,sometimes in the clear- ance after The throat.Due to it is more likely to shift into cancer, and compression symptoms affect organ function,we usually take surgery when substernal goiter is diagnosed, at present the low cervical collar incision is the most com- monly used. The diagnosis and treatment for substernal goiter are not complicated. Early detection of disease and to grasp indications of the different path of surgery is a main issue to us.