世界最新医学信息文摘(电子版)
世界最新醫學信息文摘(電子版)
세계최신의학신식문적(전자판)
World Latest Medicine Information
2012年
9期
34-35
,共2页
胸骨后甲状腺肿%甲状腺切除%低位领形切口%喉返神经%甲状旁腺%并发症
胸骨後甲狀腺腫%甲狀腺切除%低位領形切口%喉返神經%甲狀徬腺%併髮癥
흉골후갑상선종%갑상선절제%저위령형절구%후반신경%갑상방선%병발증
substernal goiter%thyroid surgery%collar incision%recurrent laryngeal nerve%complication
目的探讨胸骨后甲状腺肿的手术治疗和术后并发症.方法回顾性分析我院2000年1月至2011年1月收治的26例胸骨后甲状腺肿患者的诊断、治疗资料.结果26例患者中,多结节性甲状腺肿22例,滤泡性甲状腺瘤2例,复发性甲状腺肿2例.26例手术均通过颈部低位领形切口手术完成.术后并发症包括4例暂时的喉返神经损伤,术后出血2例,短暂的低钙血症2例.结论胸骨后甲状腺肿患者完全可以选择用颈部低位领形切口手术,术中保护甲状旁腺和显露喉返神经对于减少术后并发症具有重要的意义.
目的探討胸骨後甲狀腺腫的手術治療和術後併髮癥.方法迴顧性分析我院2000年1月至2011年1月收治的26例胸骨後甲狀腺腫患者的診斷、治療資料.結果26例患者中,多結節性甲狀腺腫22例,濾泡性甲狀腺瘤2例,複髮性甲狀腺腫2例.26例手術均通過頸部低位領形切口手術完成.術後併髮癥包括4例暫時的喉返神經損傷,術後齣血2例,短暫的低鈣血癥2例.結論胸骨後甲狀腺腫患者完全可以選擇用頸部低位領形切口手術,術中保護甲狀徬腺和顯露喉返神經對于減少術後併髮癥具有重要的意義.
목적탐토흉골후갑상선종적수술치료화술후병발증.방법회고성분석아원2000년1월지2011년1월수치적26례흉골후갑상선종환자적진단、치료자료.결과26례환자중,다결절성갑상선종22례,려포성갑상선류2례,복발성갑상선종2례.26례수술균통과경부저위령형절구수술완성.술후병발증포괄4례잠시적후반신경손상,술후출혈2례,단잠적저개혈증2례.결론흉골후갑상선종환자완전가이선택용경부저위령형절구수술,술중보호갑상방선화현로후반신경대우감소술후병발증구유중요적의의.
Objective to review the treatment,and postoperative complications of patients with substernal goiter. Methods the clinical data of 26 patients with substernal goiters subject to thyoid resection were retrospectively analyzed from January 2000 to January 2011 in our hospital. Result twenty-two patients were confirmed to be multinodular goiter by pathology examination,two patients were follicular thyroid adenoma and two patients were recurrent nodular goiter.all pa-tients could be remove through a low collar incision. the most common postoperative complications were temporary paresis of the recurrent laryngeal nerve(4 patients),transient hypocaleemia(2 patients),hematoma(2 patients). Conclusion trans-verse collar incision should be the standard approach for most patients,the visual identification of parathyroid glands and recurrent laryngeal nerve is essential to prevent postoperative complications.
