颈部低位领式切口进路切除纵隔甲状腺肿的探讨

Mediastinal goiter resection via cervical low collar incision

目的:探讨颈部低位领式切口进路切除纵隔甲状腺肿对于减少副损伤的作用。方法:回顾性分析我科2009-2012年20例纵隔甲状腺肿患者的临床资料。结果:2例患者放弃手术治疗,其余18例患者全部采用颈部低位领式切口进路行纵隔甲状腺肿切除术,均完整切除肿物,术后无1例发生喉返神经损伤、窒息或出血等并发症。结论:颈部低位领式切口进路切除纵隔甲状腺肿,在完整切除肿物的同时,能极大的减少手术副损伤。

Objective：To discuss the advantage of the mediastinal goiter resection via cervical low collar incision. Methods：Retrospectively analyze the clinical data of 20 cases of mediastinal goiter. Results：Except 2 cases giving up surgery,the other 18 cases were operated successfully whose mediastinal goiters were all resected completely and no one developed postoperative complications such as laryngeal recurrent nerve injuries,asphyxia or bleeding. Conclu-sion：Mediastinal goiter resection via cervical low collar incision can not only resect the mediastinal goiter completely but also reduce the collateral damage greatly.