CAJ | 학술논문

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.
목적 탐토흉골후갑상선종적외과치료방법.방법 회고성분석26례흉골후갑상선종환자림상자료.결과 26례환자균행수술절제흉골후갑상선종물,20례경경부저위령식절구,6례경경부저위령식절구가흉골벽개.병리증실위결절성갑상선종18례,려포성선류6례,갑상선유두상암2례.술후출현후반신경손상표현2례,술후출혈1례,경재차수술지혈치유,무수술사망병례.결론 경부저위령식절구입로가이완성대부분흉골후갑상선종적수술절제,경흉수술입로대가의암변화거대종류환자안전가고.
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.