经胸锁乳突肌体外悬吊预防巨大甲状腺肿术后气管塌陷

Prevention of tracheal collapse after giant goiter surgery by extracorporeal suspension of sternocleidomastoid muscle

目的探讨巨大甲状腺肿伴气管软化的手术处理,预防患者术后出现气管塌陷窒息的严重后果。方法回顾性分析2010年1月~2016年12月我院治疗的12例巨大甲状腺肿伴气管软化的手术处理,甲状腺切除后采用可吸收缝线经胸锁乳突肌体外悬吊。结果所有患者均恢复良好,无一例气管切开。11例顺利拆线,其中1例经打紧悬吊线避免了窒息。另外1例经打紧悬吊线、延长悬吊时间后拆线。至少2例患者通过此方法避免了气管切开。结论可吸收缝线经胸锁乳突肌体外悬吊对软化气管的处理简单、有效、可调控。

Objective To investigate the surgical treatment of giant goiter with tracheomalacia and to prevent the serious consequences of tracheal collapse asphyxia in patients after surgery. Methods 12 cases of giant goiter with tracheomalacia treated in our hospital from January 2010 to December 2016 were retrospectively analyzed. Sternocleidomastoid muscle was extracorporeally suspended by absorbable suture after thyroidectomy. Results All patients recovered well and none had a tracheotomy. Stitches in 11 cases were successfully removed, of which 1 case avoided asphyxia by suspending the suspension line. Another 1 case underwent stitches after tightening the suspension line and extending the suspension time. At least 2 patients avoided tracheotomy by this method. Conclusion The sternocleidomastoid muscle extracorporeal suspension by absorbable suture for the treatment of tracheomalacia is aimple, effective and adjustable.