| 18例胸骨后甲状腺肿瘤的外科治疗 |
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| 引用本文： | 余济春,张剑,文三立,饶华庚,王勤.18例胸骨后甲状腺肿瘤的外科治疗[J].江西医学院学报,2003,43(5):25-26. |
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| 作者姓名： | 余济春 张剑 文三立 饶华庚 王勤 |
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| 作者单位： | [1]江西医学院第一附属医院耳鼻喉-头颈外科，江西南昌330006 [2]江西医学院第一附属医院心胸外科，江西南昌330006 |
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| 摘 要： | 目的 探讨胸骨后甲状腺肿瘤切除手术入路及方法。方法 对18例胸骨后甲状腺肿瘤患采用手术治疗．其中15例采用颈部低领切口入路切除肿瘤．3例颈部低领入路 正中劈胸切除肿瘤。并观察术后有无并发症发生。结果 全部患手术均获成功。术后伤口出血2例(占11％)。结论 颈部低领切口入路切除胸骨后甲状腺肿瘤是可行的，该手术操作简单，安全可靠，又具有损伤小、并发症少等优点，值得临床进一步探讨。
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| 关 键 词： | 胸骨后甲状腺肿瘤 外科治疗 手术入路 手术方法 |
| 文章编号： | 1000-2294(2003)04-0025-02 |
| 修稿时间： | 2003年6月9日 |
Surgery of Substernal Goiter |
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| YU Ji-chun ,ZHANG Jian ,WEN San-li ,RAO Hua-geng ,WANG Qin.Surgery of Substernal Goiter[J].Acta Academiae Medicinae Jiangxi,2003,43(5):25-26. |
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| Authors: | YU Ji-chun ZHANG Jian WEN San-li RAO Hua-geng WANG Qin |
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| Affiliation: | YU Ji-chun 1,ZHANG Jian 2,WEN San-li 1,RAO Hua-geng 2,WANG Qin 2 |
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| Abstract: | Objective To probe into the surgical appraches and operative techniques for substernal thyroid goiter.Methods A retrospective study of 18 cases with substernal goiter were made in our hospital.Results The operations on 18 patients with substernal wodules have been successfully carried out.There were 17 patients with goiters and one with thyroid cancer metastisizing to neck and substernal nodes.Resection via cervical collar incision was adequate in 15 cases. The goiters in three patients were resected by combined thoractomy and cervical collar incision.Conclusion Resection via cervical collar incision for all retrosternal thyroid nodules are advised. |
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| Keywords: | thyroid neoplasms substernal surgery case report |
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