摘要
目的 总结胸骨后各种病理类型甲状腺肿的临床表现、诊断要点、手术方法和预后。方法 回顾性地分析经外科手术病理证实的 6 4例胸骨后甲状腺肿患者的临床资料。 结果 全组无手术死亡和住院死亡病例 ,合并症发生率为 15 7%。 结论 绝大多数胸骨后甲状腺肿与颈部甲状腺有关 ,属结节性甲状腺肿 ;胸部X线平片和胸部CT可以明确诊断 ;经颈部领形切口可完成绝大多数手术。甲状腺未分化癌呈浸润性生长 ,多不能完全切除 。
Objective To understand the clinical manifestations, diagnostic methods, surgical management and prognosis of retrosternal goiter in various pathological types. Methods 64 cases of retrosternal goiter with surgical intervention and pathological confirmation were analysed retrospectively. [WT5”HZ]Results[WT5”BZ] No operative deaths and hospital deaths were noted. The rate for complications were 15 7%. Conclusions[WT5”BZ] Correct diagnosis of retrosternal goiters can be made by chest X ray and chest CT scan. Most cases of retrosternal goiter can be removed by cervical incision. Undifferentiated retrosternal thyroid carcinoma is often invasive,and almost can not be resected satisfactively.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2001年第4期291-293,共3页
Chinese Journal of Surgery
