CAJ | 학술논문

目的探讨胸骨后甲状腺疾病的临床表现、诊断和手术治疗.方法回顾性分析1995年1月至2008年1月手术治疗29例胸骨后甲状腺肿的临床资料.结果临床表现主要为无症状颈部肿物23例,颈部肿物伴随憋气3例,吞咽阻挡感3例.26例为坠人性胸骨后甲状腺肿,3例为胸内甲状腺肿.良性病变28例,伴随恶性病变1例.26例采用颈前部低领式切口,2例采用颈胸联合切口,1例颈部-肋间切口.结论多数胸骨后甲状腺肿是颈前部病变向下的延续,颈胸部CT检查是最有效的检查手段.多数患者手术可以经颈部低领式切口完成,必要时行颈胸联合切口.
목적 탐토흉골후갑상선질병적림상표현、진단화수술치료.방법 회고성분석1995년1월지2008년1월수술치료29례흉골후갑상선종적림상자료.결과 림상표현주요위무증상경부종물23례,경부종물반수별기3례,탄인조당감3례.26례위추인성흉골후갑상선종,3례위흉내갑상선종.량성병변28례,반수악성병변1례.26례채용경전부저령식절구,2례채용경흉연합절구,1례경부-륵간절구.결론 다수흉골후갑상선종시경전부병변향하적연속,경흉부CT검사시최유효적검사수단.다수환자수술가이경경부저령식절구완성,필요시행경흉연합절구.
Objective To investigate the clinical characteristics diagnosis and surgical treatment of substemal goiter. Methods Clinical data of 29 cases of substernal goiter from Jan 1995 to Jan 2008 were retrospectively analyzed. Results The main symptoms of substernal goiter were asymptomatic cervical mass in 20 patients, airway obstruction in 3 ones,baffle when swallow in 3 ones respectively. There were 26 cases of descendingsubsternal goiter and 3 cases of truly intrathoracic thyroid. Pathology identified benignity in 28 cases and malignancy in 1. Operation were performed in 26 cases through low cervical incision ,in 2 ones with combined cervici-stenotomic approach,1 through cervical inter-ribs incision. Conclusion Substemal goiters often result from the descent of a cervical goiter, CT scanning of neck and thorax is valuable in the diagnosis of substemal goiters.Most substernal goiters can be removed through a transcervical approach, although combined cervici-stemotomic approach is occasionally required