【摘要】 目的探讨胸骨后甲状腺肿的临床表现、诊断方法和手术治疗方法。方法回顾性分析安阳市人民医院2007年1月至2010年12月收治的30例胸骨后甲状腺肿患者的临床资料。结果全组无手术及住院死亡,无手术所致喉返神经损伤及术中、术后大出血。1例声嘶者术后2d声音恢复正常,术后无手足抽搐发生。术后病理诊断单纯结节性甲状腺肿18例,结节性甲状腺肿并囊性变6例,腺瘤型结节性甲状腺肿4例,甲状腺腺瘤2例。结论绝大多数胸骨后甲状腺病变是颈部病变向下延续所致。CT扫描是最佳的术前检查手段。绝大多数患者的手术可经颈部低领式切口完成,必要时附加胸骨部分劈开。更多还原

【Abstract】 Objective To investigate the clinical manifestations,diagnosis and surgical treatmentof substernal goiter.Methods A retrospective analysis of our hospital from January 2007 to December 2010 were treated 30 cases of retrosternal goiter patients with clinical data.Results There was no operative and hospital deaths,no surgery due to recurrent laryngeal nerve injury and postoperative bleeding.One case of hoarseness sound were back to normal after the 2d,no postoperative tetany occurred.Pathological diagnosis of simple nodular goiter,18 cases of nodular goiter and cystic in 6 cases,adenomatous nodular goiter in 4 cases,thyroid adenoma in 2 cases.Conclusions The vast majority of substernal thyroid disease is a continuation of the neck down due to disease.CT scan is the best means of preoperative examination.Most of the patients after neck surgery can be done with low collar incision,if necessary,an additional part of the sternum split.更多还原