Kaya S, Tastepe I, Kaptanoglu M, Yuksel M, Topcu S, Cetin G
Atatürk Respiratory Disease and Thoracic Surgery Centre, Ankara, Turkey.
Scand J Thorac Cardiovasc Surg. 1994;28(2):85-9. doi: 10.3109/14017439409100168.
A retrospective review is presented of 20 cases with resection of intrathoracic goitre between 1975 and 1993. The mean age of the 11 men and nine women was 53 years. The intrathoracic goitre was primary in seven cases and secondary in 13. The presenting clinical features and the pathology, surgical risks and optimal approaches are discussed. Primary intrathoracic goitre should be approached via a thoracotomy, because of the independent vascular supply. As secondary intrathoracic goitres are supplied by vascular pedicles arising from the inferior thyroid artery, a cervical collar incision is preferable. In the event of significant mediastinal bleeding, which is difficult to control from a cervical incision, a T-shaped incision for partial or full sternotomy can be performed, or even thoracotomy.
本文回顾性分析了1975年至1993年间20例胸内甲状腺肿切除术患者。11名男性和9名女性的平均年龄为53岁。7例胸内甲状腺肿为原发性，13例为继发性。讨论了临床表现、病理、手术风险及最佳手术方法。原发性胸内甲状腺肿因有独立血供，应经胸切口手术。继发性胸内甲状腺肿由甲状腺下动脉发出的血管蒂供血，故首选颈部领式切口。若颈部切口难以控制严重纵隔出血，可采用部分或全胸骨切开的T形切口，甚至开胸手术。
