气管内支架治疗不可手术的胸内甲状腺肿所致上气道梗阻

Noppen M, Meysman M, Dhondt E, Gepts L, Velkeniers B, Vanhaelst L, Vincken W

Department of Pneumology, University Hospital AZ-VUB of the Vrije Universiteit Brussel, Belgium.

Thorax. 1994 Oct;49(10):1034-6. doi: 10.1136/thx.49.10.1034.

Thyroidectomy is the treatment of choice in patients with thyroid enlargement complicated by compression or displacement of the trachea because of the risk of complete airway obstruction due to sudden enlargement of the goitre by, for example, haemorrhage. In patients who are medically inoperable an endoscopically inserted tracheal endoprosthesis may provide longstanding airway patency, as reported here.

甲状腺切除术是甲状腺肿大并伴有气管受压或移位患者的首选治疗方法，因为存在例如出血导致甲状腺肿突然增大而引起完全气道梗阻的风险。如本文所报道，对于内科手术无法进行的患者，经内镜插入气管内支架可能会提供长期的气道通畅。