Diagnosis and surgical treatment of the substernal goitre

JIANG Yingjiu; et al

doi:10.13406/j.cnki.cyxb.2004.04.043

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Diagnosis and surgical treatment of the substernal goitre

更新时间：2024-01-17

- Diagnosis and surgical treatment of the substernal goitre
- Journal of Chongqing Medical University Issue 4, Pages: 536-537(2004)
- 作者机构：
  
  1. 重庆医科大学临床学院胸心外科
  2. 重庆医科大学临床学院胸心外科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2004.04.043
  CLC： R653
- Published：2004，
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[1]蒋迎九,温剑虎,向小勇,吴庆琛,杨双强,杜铭.胸骨后甲状腺肿的临床诊治[J].重庆医科大学学报,2004(04):536-537+552.

JIANG Yingjiu, et al. Diagnosis and surgical treatment of the substernal goitre. [J]. Journal of Chongqing Medical University (4):536-537(2004)
[1]蒋迎九,温剑虎,向小勇,吴庆琛,杨双强,杜铭.胸骨后甲状腺肿的临床诊治[J].重庆医科大学学报,2004(04):536-537+552. DOI： 10.13406/j.cnki.cyxb.2004.04.043.

JIANG Yingjiu, et al. Diagnosis and surgical treatment of the substernal goitre. [J]. Journal of Chongqing Medical University (4):536-537(2004) DOI： 10.13406/j.cnki.cyxb.2004.04.043.

摘要

目的 :探讨胸骨后甲状腺肿的临床特点、诊断与外科治疗。方法 :回顾性分析 2 8例手术切除胸骨后甲状腺肿病人的临床资料

均经病理证实。结果 :2 8例胸骨后甲状腺肿病人中原发性 3例

继发性 2 5例 ;临床表现主要为颈部包块（2 5例）、胸闷不适（2 3例）和呼吸困难（8例）。胸部X线检查结合13 1Ⅰ扫描是术前的重要诊断手段。术后早期发生失语 1例

无手术死亡。术后 3例复发。结论 :疑有本病时应行胸部X线检查及13 1Ⅰ同位素扫描以期早期诊断。外科手术是本病唯一有效的治疗方法

其预后较满意

Abstract

Objective:To investigate the clinical characteristics

diagnosis and surgical treatment of the substernal goitre.Methods:28 cases of substernal goiter operated were retrospectively analyzed.All were histopathologically proven.Results:This group included 25 secondary cases of cervical goitre and 3 primary cases.The clinical manifestations were cervical mass（25/28）

thoracic discomfort（23/28） and dyspnoea（8/28）.The preoperative diagnoses were established mainly on the basis of chest X ray combining with

131

Ⅰ scan.There was no operative mortality postoperatively

but 1 patient（3.6%）complicated with transient dysphonia and 3 cases relapsed.Conclusion:Chest X ray and

131

Ⅰ scan are helpful for making a diagnosis of substernal goiter before operation.Surgical removal of the tumor is the best choice with satisfactory prognosis.

关键词

胸骨后甲状腺肿甲状腺肿瘤诊断治疗

Keywords

Substernal goiterThyroid neoplasmsdiagnosisSurgical treatment

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