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背侧甲状腺与中胸延伸:手术方法和管理

Sharmistha Chakravarty¹, Nitin M Nagarkar¹, Amritava Ghosh²

¹Department of ENT & Head Neck Surgery, All India Institute of Medical Sciences, G.E Road, Tatibandh, Raipur, C.G 492099 India.

Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India

|June 5, 2023

概括

椎切除术不仅仅取决于背侧的尺寸. 临床症状,如呼吸困难和声音变化,而不仅仅是放射性程度,影响切除的手术方法.

科学领域:

耳鼻喉科耳鼻喉科耳鼻喉科
胸部外科手术胸部外科手术
内分泌学在内分泌学.

背景情况:

背侧可能会带来重大的临床挑战.
手术管理需要仔细考虑范围和方法.
椎切除术可能是完全切除所必需的,但存在风险.

研究的目的:

为了评估 retrosternal 的临床表现.
确定在外科切除过程中影响胸切除的需要的因素.
评估放射性程度与手术方法之间的相关性.

主要方法:

追溯审查22名患者进行全甲状腺切除术以治疗背侧.
用于评估中延伸的CT扫描.
根据手术方法分类的患者:跨子宫 vs. 跨子宫加胸骨切除术.
使用奇平方或费舍尔精确测试进行统计分析.

主要成果:

常见的症状包括呼吸障碍 (27%),声 (13%),食障碍 (9%).
在11名患者中,背面的程度为1级,在11名患者中是2级.
放射性程度与胸切除的必要性没有显著的相关性 (二级的OR为1.45).
13名患者 (59%) 在CT扫描上有气管偏差.

结论:

骨切除术的决定取决于临床症状 (腹,呼吸障碍,声),而不仅仅是放射性程度.
完全切除和维护重要结构在胸腔入口的挑战.
石切除术对于完全切除和保护中血管至关重要.

关键词:

这里是Mediastinum的中间体.背侧肠的情况是这样的椎切除术是一种椎切除术.胸部入口胸部入口甲状腺切除术 (thyroidectomy) 是一种切除甲状腺的方法.

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