巨大甲状腺肿致气管软化的外科治疗

Surgical Treatment for Tracheomalacia Induced by Huge Goiter

目的:探讨巨大甲状腺肿致气管软化的诊断及外科治疗方法。方法:12例巨大甲状腺肿致气管软化的患者均行X线气管摄片及颈部CT增强扫描检查,行双侧甲状腺次全切除和气管悬吊术11例,双侧甲状腺次全切除和气管切开术1例。结果:12例均获得临床治愈。未出现声嘶、呼吸困难等并发症。结论:巨大甲状腺肿致气管软化行甲状腺次全切除、气管悬吊术或气管切开术是积极有效的方法。

Objective To discuss the diagnosis and treatment of tracheomalacia induced by huge goiter. Methods The clinical data of 12 cases of tracheomalacia induced by huge goiter were analyzed. All the patients had trachea X ray and cervical CT scan testing, 11 of them underwent bilateral subtotal thyroidectomy with tracheal suspension and the other one bilateral subtotal thyroidectomy with tracheostomy. Results All the 12 cases recovered clinically after surgery. There was no hoarseness, nor breath difficulty. Conclusion Subtotal thyroidectomy with tracheal suspension or with tracheostomy are effective therapies of tracheomalacia from huge goiter.