CAJ | 학술논문

目的：探讨颈部低位领式切口进路切除纵隔甲状腺肿对于减少副损伤的作用。方法：回顾性分析我科2009-2012年20例纵隔甲状腺肿患者的临床资料。结果：2例患者放弃手术治疗，其余18例患者全部采用颈部低位领式切口进路行纵隔甲状腺肿切除术，均完整切除肿物，术后无1例发生喉返神经损伤、窒息或出血等并发症。结论：颈部低位领式切口进路切除纵隔甲状腺肿，在完整切除肿物的同时，能极大的减少手术副损伤。
목적：탐토경부저위령식절구진로절제종격갑상선종대우감소부손상적작용。방법：회고성분석아과2009-2012년20례종격갑상선종환자적림상자료。결과：2례환자방기수술치료，기여18례환자전부채용경부저위령식절구진로행종격갑상선종절제술，균완정절제종물，술후무1례발생후반신경손상、질식혹출혈등병발증。결론：경부저위령식절구진로절제종격갑상선종，재완정절제종물적동시，능겁대적감소수술부손상。
Objective:To discuss the advantage of the mediastinal goiter resection via cervical low collar incision. Methods:Retrospectively analyze the clinical data of 20 cases of mediastinal goiter. Results:Except 2 cases giving up surgery,the other 18 cases were operated successfully whose mediastinal goiters were all resected completely and no one developed postoperative complications such as laryngeal recurrent nerve injuries,asphyxia or bleeding. Conclu-sion:Mediastinal goiter resection via cervical low collar incision can not only resect the mediastinal goiter completely but also reduce the collateral damage greatly.