CAJ | 학술논문

目的：探讨经颈部低领切口手术切除巨大胸骨后甲状腺肿的技巧。方法回顾性分析5例巨大胸骨后甲状腺肿的临床资料。结果全组病例均经低领颈部切口手术切除，术中及术后均无死亡病例，术中出血量少，手术时间短，术后无血胸、气胸、气管软化、食道损伤及喉返神经损伤，术后随访6~12个月无复发病例。结论巨大胸骨后甲状腺肿可经颈部低领切口切除，无需胸骨劈开，具有创伤小、手术时间短、恢复快、并发症少、住院天数短、费用少等优点，值得临床推广应用。
목적：탐토경경부저령절구수술절제거대흉골후갑상선종적기교。방법회고성분석5례거대흉골후갑상선종적림상자료。결과전조병례균경저령경부절구수술절제，술중급술후균무사망병례，술중출혈량소，수술시간단，술후무혈흉、기흉、기관연화、식도손상급후반신경손상，술후수방6~12개월무복발병례。결론거대흉골후갑상선종가경경부저령절구절제，무수흉골벽개，구유창상소、수술시간단、회복쾌、병발증소、주원천수단、비용소등우점，치득림상추엄응용。
Objective To investigate the operation skill for removal of giant substernal goiters through cervical approach.Methods A retrospective analysis of 5 cases clinical materials of giant substernal goiters.Results All cases were performed through low-collar cervical approach, no deaths in the intraoperative or postoperative were no deaths, with less bleeding, shorter operative time and showing no any adverse physical postoperative symptoms, such as hemothorax, pneumothorax, tracheomalacia, esophageal injury and impairment of recurrent laryngeal nerve. No postoperative recurrence cases in follow-up for 6-12 months.Conclusion Giant substernal goiters can be removed through cervical approach without sternotomy, with advertages such as little trauma, short operation time, quick recovery, less complications, short hospitalization time, low cost and so on, worthy of clinical application.