胸骨后巨大良性甲狀腺腫1例并文獻復習_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 戴洪山 ,  魏友松 , 何領

南京中醫藥大學附屬醫院普通外科（江蘇南京 210029）;

Corresponding?author：

魏友松, Email: kwwys@sina.com

Keywords：

巨大良性甲狀腺瘤; 氣管軟化; 術后窒息; 喉頭水腫

DOI：

10.7507/1007-9424.20150326

Video：

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目的總結巨大良性甲狀腺腫圍手術期處理，提高對該疾病的綜合治療水平。方法介紹1例胸骨后巨大良性甲狀腺腫診治得失并進行文獻復習。結果胸骨后巨大良性甲狀腺腫，涉及到多學科合作，如有喉返神經損傷或嚴重喉頭水腫，應該積極行氣管切開。結論胸骨后巨大良性甲狀腺腫應該加強喉返神經功能及氣道功能的評估。

Citation： 戴洪山, 魏友松, 何領. 胸骨后巨大良性甲狀腺腫1例并文獻復習. 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.	孫輝, 劉曉莉.甲狀腺術后窒息原因與處理.中華普外科手術學雜志:電子版, 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.	馬冰, 劉叔生, 夏紹友, 等.巨大甲狀腺腫手術切除要點與難點.解放軍醫學院學報, 2013, 34(7):690-692.
6.	馬建倉, 趙軍, 蘇清華, 等.巨大甲狀腺腫的圍手術期處理.臨床外科雜志, 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, 趙德安, 黃維國, 等.甲狀腺切除病例喉返神經損傷的分析.臨床耳鼻咽喉科雜志, 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.	高雄輝, 謝景華, 吳曉鐘, 等.喉返神經的解剖顯露在甲狀腺手術中的價值.中國耳鼻咽喉顱底外科雜志, 2007, 13(1):32-34.
12.	孫輝, 劉曉莉.甲狀腺手術中喉返神經和喉上神經的保護.中國實用外科雜志, 2012, 32(5):356-359.
13.	張平, 張浩, 李璇, 等.非返性喉返神經的術前判定及術中處理.中國實用外科雜志, 2010, 30(8):680-683.
14.	孫輝, 劉曉莉, 張大奇, 等.甲狀腺手術中喉返神經保護及監測的臨床應用.中國普外基礎與臨床雜志, 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. 孫輝, 劉曉莉.甲狀腺術后窒息原因與處理.中華普外科手術學雜志:電子版, 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. 馬冰, 劉叔生, 夏紹友, 等.巨大甲狀腺腫手術切除要點與難點.解放軍醫學院學報, 2013, 34(7):690-692.
6. 馬建倉, 趙軍, 蘇清華, 等.巨大甲狀腺腫的圍手術期處理.臨床外科雜志, 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, 趙德安, 黃維國, 等.甲狀腺切除病例喉返神經損傷的分析.臨床耳鼻咽喉科雜志, 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. 高雄輝, 謝景華, 吳曉鐘, 等.喉返神經的解剖顯露在甲狀腺手術中的價值.中國耳鼻咽喉顱底外科雜志, 2007, 13(1):32-34.
12. 孫輝, 劉曉莉.甲狀腺手術中喉返神經和喉上神經的保護.中國實用外科雜志, 2012, 32(5):356-359.
13. 張平, 張浩, 李璇, 等.非返性喉返神經的術前判定及術中處理.中國實用外科雜志, 2010, 30(8):680-683.
14. 孫輝, 劉曉莉, 張大奇, 等.甲狀腺手術中喉返神經保護及監測的臨床應用.中國普外基礎與臨床雜志, 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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