胸骨后巨大良性甲状腺肿1例并文献复习_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 戴洪山 ,  魏友松 , 何领

南京中医药大学附属医院普通外科（江苏南京 210029）;

Corresponding author：

魏友松, Email: kwwys@sina.com

Keywords：

巨大良性甲状腺瘤; 气管软化; 术后窒息; 喉头水肿

DOI：

10.7507/1007-9424.20150326

Video：

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Abstract Full text Figures/Tables Video References Cited by

目的总结巨大良性甲状腺肿围手术期处理，提高对该疾病的综合治疗水平。方法介绍1例胸骨后巨大良性甲状腺肿诊治得失并进行文献复习。结果胸骨后巨大良性甲状腺肿，涉及到多学科合作，如有喉返神经损伤或严重喉头水肿，应该积极行气管切开。结论胸骨后巨大良性甲状腺肿应该加强喉返神经功能及气道功能的评估。

Citation： 戴洪山, 魏友松, 何领. 胸骨后巨大良性甲状腺肿1例并文献复习. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2015, 22(10): 1257-1259. doi: 10.7507/1007-9424.20150326 Copy

1.	Gardiner KR, Russell CF. Thyroidectomy for large multinodular colloid goitry. J R Coll Surg Edinb, 1995, 40(6):367-370.
2.	Lacoste L, Gineste D, Karayan J, et al. Airway complications in thyroid surgery. Ann Otol Rhinol Laryngol, 1993, 102(6):441-446.
3.	孙辉, 刘晓莉.甲状腺术后窒息原因与处理.中华普外科手术学杂志:电子版, 2013, 7(4):254-257.
4.	Agarwal A, Agarwal S, Tewari P, et al. Clinicopathological profile, airway management, and outcome in huge multinodular goiters:an institutional experience from an endemic goiter region. World J Surg, 2012, 36(4):755-760.
5.	马冰, 刘叔生, 夏绍友, 等.巨大甲状腺肿手术切除要点与难点.解放军医学院学报, 2013, 34(7):690-692.
6.	马建仓, 赵军, 苏清华, 等.巨大甲状腺肿的围手术期处理.临床外科杂志, 2008, 16(6):378-380.
7.	Jamski J, Jamska A, Graca M, et al. Recurrent Laryngeal nerveinjury following thyroid surgery. Przegl Lek, 2004, 61(1):13-16.
8.	高下, 赵德安, 黄维国, 等.甲状腺切除病例喉返神经损伤的分析.临床耳鼻咽喉科杂志, 2000, 14(7):315-316.
9.	Shindo ML, Wu JC, Park EE. Surgical anatomy of the recurrent laryngeal nerve revisited. Otolaryngol Head Neck Surg, 2005, 133(4):514-519.
10.	Chiang FY, Wang LF, Huang YF, et al. Recurrent laryngeal nerve palsy after thyroidectomy with routine identification of the recurrent laryngeal nerve. Surgery, 2005, 137(3):342-347.
11.	高雄辉, 谢景华, 吴晓钟, 等.喉返神经的解剖显露在甲状腺手术中的价值.中国耳鼻咽喉颅底外科杂志, 2007, 13(1):32-34.
12.	孙辉, 刘晓莉.甲状腺手术中喉返神经和喉上神经的保护.中国实用外科杂志, 2012, 32(5):356-359.
13.	张平, 张浩, 李璇, 等.非返性喉返神经的术前判定及术中处理.中国实用外科杂志, 2010, 30(8):680-683.
14.	孙辉, 刘晓莉, 张大奇, 等.甲状腺手术中喉返神经保护及监测的临床应用.中国普外基础与临床杂志, 2010, 17(8):768-771.
15.	Testini M, Logoluso F, Lissidini G, et al. Emergency total thyroidectomy due to non traumatic disease. Experience of a surgical unit and literature review. World J Emerg Surg, 2012, 7:9.

1. Gardiner KR, Russell CF. Thyroidectomy for large multinodular colloid goitry. J R Coll Surg Edinb, 1995, 40(6):367-370.
2. Lacoste L, Gineste D, Karayan J, et al. Airway complications in thyroid surgery. Ann Otol Rhinol Laryngol, 1993, 102(6):441-446.
3. 孙辉, 刘晓莉.甲状腺术后窒息原因与处理.中华普外科手术学杂志:电子版, 2013, 7(4):254-257.
4. Agarwal A, Agarwal S, Tewari P, et al. Clinicopathological profile, airway management, and outcome in huge multinodular goiters:an institutional experience from an endemic goiter region. World J Surg, 2012, 36(4):755-760.
5. 马冰, 刘叔生, 夏绍友, 等.巨大甲状腺肿手术切除要点与难点.解放军医学院学报, 2013, 34(7):690-692.
6. 马建仓, 赵军, 苏清华, 等.巨大甲状腺肿的围手术期处理.临床外科杂志, 2008, 16(6):378-380.
7. Jamski J, Jamska A, Graca M, et al. Recurrent Laryngeal nerveinjury following thyroid surgery. Przegl Lek, 2004, 61(1):13-16.
8. 高下, 赵德安, 黄维国, 等.甲状腺切除病例喉返神经损伤的分析.临床耳鼻咽喉科杂志, 2000, 14(7):315-316.
9. Shindo ML, Wu JC, Park EE. Surgical anatomy of the recurrent laryngeal nerve revisited. Otolaryngol Head Neck Surg, 2005, 133(4):514-519.
10. Chiang FY, Wang LF, Huang YF, et al. Recurrent laryngeal nerve palsy after thyroidectomy with routine identification of the recurrent laryngeal nerve. Surgery, 2005, 137(3):342-347.
11. 高雄辉, 谢景华, 吴晓钟, 等.喉返神经的解剖显露在甲状腺手术中的价值.中国耳鼻咽喉颅底外科杂志, 2007, 13(1):32-34.
12. 孙辉, 刘晓莉.甲状腺手术中喉返神经和喉上神经的保护.中国实用外科杂志, 2012, 32(5):356-359.
13. 张平, 张浩, 李璇, 等.非返性喉返神经的术前判定及术中处理.中国实用外科杂志, 2010, 30(8):680-683.
14. 孙辉, 刘晓莉, 张大奇, 等.甲状腺手术中喉返神经保护及监测的临床应用.中国普外基础与临床杂志, 2010, 17(8):768-771.
15. Testini M, Logoluso F, Lissidini G, et al. Emergency total thyroidectomy due to non traumatic disease. Experience of a surgical unit and literature review. World J Emerg Surg, 2012, 7:9.

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胸骨后巨大良性甲状腺肿1例并文献复习

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