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在低体积手术中心治疗巨型复发性后侧甲状腺:一个病例报告
Qahtan A Al Dulaimi1,2, Mais O Abu-Sa'da3, Rand N Fatayerji3
1General Surgery, Saqr Hospital, Emirates Health Services, Ras Al-Khaimah, ARE.
经常出现的后侧,即使是大,也可以安全地通过宫切除而无需切除. 精心的手术前评估是成功的手术规划和结果的关键.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 头部和部手术 头部和部手术
背景情况:
- 背侧可以在下侧扩大,导致压缩症状.
- 由于先前的手术改变了解剖学,反复出现的带带来了手术挑战.
研究的目的:
- 报告一个成功的手术治疗复发后侧的病例.
- 为了强调宫治疗的实用性,用于复发的后侧.
主要方法:
- 一名53岁的女性患有大量的,反复复发的后侧囊,接受了全面的甲状腺切除术.
- 该手术是通过标准的宫项圈切口进行的,避免了胸切割.
- 手术前的成像和细针吸收指导了手术规划.
主要成果:
- 通过宫切口完全切除了大后侧 (410克).
- 患者没有手术并发症,保留了复发的喉神经和副甲状腺功能.
- 组织病理学证实了良性多细胞增生.
结论:
- 具有有限的胸内延伸的大型反复复发的后侧可以通过宫方法安全地管理.
- 精心的手术前评估和手术规划对于成功的结果至关重要.
- 即使在显著的后侧子复发的情况下,骨切除也可能不需要.
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