与怀孕相关的复发性良性,带有内肌延伸
Mohamed Amine Chaabouni1, Ines Kharrat1, Omar Walha1
1ENT Department and Research Laboratory LR23ES01, Habib Bourguiba University Hospital, University of Sfax, Sfax, Tunisia.
Ear, nose, & throat journal
|January 30, 2024
概括
一名怀孕的患者经历了一次复发的良性喉引起的气道阻塞. 进行了紧急气管切除术和剖腹产,随后进行了活检,确认了良性甲状腺组织. 质量自发回归,允许切除气管管.
科学领域:
- 内分泌学 在内分泌学.
- 产科 产科 产科 产科 产科
- 肺部病理学 肺部病理学
背景情况:
- 经常出现的喉可能会导致严重的气道损害,特别是在孕妇患者.
- 甲状腺组织延伸到气管中,这是一种罕见但至关重要的手术挑战.
- 之前的甲状腺切除术并不能排除喉复发或异常生长模式.
研究的目的:
- 报告一个单一的孕妇病例,患有复发性良性喉,导致内肌延伸.
- 描述怀孕期间由甲状腺组织对气管压缩造成的严重呼吸障碍的治疗方法.
- 为了记录干预后肌内甲状腺组织的自发回归.
主要方法:
- 一个37岁的孕妇患者的病例报告,她有全甲状腺切除术的病史.
- 诊断成像包括宫胸部计算机断层扫描 (CT) 来评估质量.
- 紧急气管切除术和剖腹产,随后进行探索性宫切除术和内镜活检.
- 组织病理学检查和随访CT扫描.
主要成果:
- 一个4厘米长的良性复发性肠与内肌延伸导致渐进性呼吸不良.
- 紧急气管切除术和剖腹产是由于呼吸道阻塞而需要的.
- 组织病理学证实了良性甲状腺组织,由于出血风险,甲状腺内部部分留在现场.
- 随访CT显示,在2个月内,肌内质量自发回归.
- 在质量回归后成功切除气管管.
结论:
- 经常出现的良性喉可能会出现危及生命的呼吸道阻塞,即使在全甲状腺切除术后也是如此.
- 在这样复杂的病例中,涉及产科,外科和肺部的多学科管理至关重要.
- 甲状腺内内组织的自发回归是可能的,可以避免需要进一步的手术干预.
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