累及气管的甲状腺病变术后气管的处理

The management of trachea lesion in thyroid diseases operation

回顾性分析82例累及气管的甲状腺病变患者的临床资料,包括单侧或(和)双侧巨大结节性甲状腺肿32例、甲亢伴结节性甲状腺肿5例、亚急性甲状腺炎4例、甲状腺淋巴瘤10例、甲状腺未分化癌4例、甲状腺乳头状癌24例、复发甲状腺乳头状癌3例。甲状腺病变术后的气管,要根据病变性质、病变累及气管的程度和范围以及患者自身的合并症情况采取不同的处理,最大限度提高手术安全性。

The clinical data of 82 patients with trachea lesion in thyroid diseases were retrospectively analyzed,including 32 cases with unilateral or bilateral giant nodular goiter,5 cases with hyperthyroidism accompanied with nodular goiter,4 cases with subacute thyroiditis,10 cases with thyroid lymphoma,4 cases with anaplastic thyroid carcinoma,24 cases with papillary thyroid carcinoma and 3 cases with recurrent papillary thyroid carcinoma.The effective treatment of trachea lesion in thyroid diseases should be performed differently according to the nature of lesions,the extent and scope of lesions involving trachea and the complications of the patients themselves,so as to maxizime the safety of operation.