Moumen M, Mehhane M, Kadiri B, Mawfik H, el Fares F
Service de chirurgie générale, C.H.U. Ibnou Rochd, Casablanca, Maroc.
J Chir (Paris). 1989 Oct;126(10):521-6.
Our retrospective study is based on 80 compressive goitres collected over a period of 7 years in the general surgical department of the Ibnou Rochd University Teaching Hospital, Casablanca. Dyspnea was the predominant clinical manifestation and was encountered in 82.5% of cases, followed by dysphonia (65%), dysphagia (46%) and finally venous compression (8.7%). Hyperthyroidism was encountered in 26.25% of cases, 57% of these being due to Grave's disease. The goitre extended mediastinally in 38% of cases but resection was possible on cervicotomy alone. Post-operative sequelae were minor in nature, though one death did occur. On histological examination 85% of these goitres were benign and only 15% were of a malignant nature. This is in agreement with the data in the literature which confirms that compression is not synonymous with malignancy.
我们的回顾性研究基于在卡萨布兰卡伊本·罗奇德大学教学医院普通外科7年期间收集的80例压迫性甲状腺肿。呼吸困难是主要临床表现，82.5%的病例出现该症状，其次是声音嘶哑（65%）、吞咽困难（46%），最后是静脉受压（8.7%）。26.25%的病例存在甲状腺功能亢进，其中57%是由格雷夫斯病引起。38%的病例甲状腺肿延伸至纵隔，但仅通过颈部切开术即可切除。术后后遗症性质较轻，不过确实发生了1例死亡。组织学检查显示，这些甲状腺肿85%为良性，仅15%为恶性。这与文献数据一致，证实压迫并非恶性的同义词。
