临床外科杂志 ›› 2025, Vol. 33 ›› Issue (11): 1229-1230.doi: 10.3969/j.issn.1005-6483.20241131

• 临床病例报道 • 上一篇    下一篇

胸骨后甲状腺肿合并甲状腺功能亢进伴气管软化手术治疗二例

  

  1. 210029   江苏南京,南京中医药大学附属医院普外科
  • 收稿日期:2024-07-09 接受日期:2024-07-09 出版日期:2025-11-20 发布日期:2025-11-20
  • 通讯作者: 陈德轩,Emial:dexuansir@126.com

Surgical treatment of 2 cases of substernal goiter combined with hyperthyroidism with tracheomalacia

  1. Department of General Surgery,Affiliated Hospital of Nanjing University of Chinese Medicine,Nanjing 210029,China
  • Received:2024-07-09 Accepted:2024-07-09 Online:2025-11-20 Published:2025-11-20

摘要: 本文报告2例胸骨后甲状腺肿合并甲状腺功能亢进伴气管软化的手术治疗经验。病例1为54岁女性,病例2为73岁女性,均经影像学确诊为胸骨后甲状腺肿,其中病例2合并甲状腺功能亢进。2例病人均通过颈部低位领式切口成功完成甲状腺全切及胸骨后肿物切除,未行胸骨劈开。针对术中发现的气管软化,采用4号丝线行气管前壁“8”字形缝合悬吊固定术。病例2术前应用地塞米松预预防甲状腺功能亢进危象。术后无严重并发症,随访显示气道通畅。

关键词: 胸骨后甲状腺肿, 甲状腺功能亢进症, 气管软化悬吊术

Abstract: This article reports the experience of surgical treatment of two cases of retrosternal goiter combined with hyperthyroidism with tracheal tenderness.Case 1 was a 54-year-old woman and Case 2 was a 73-year-old woman,both diagnosed with retrosternal goiter on imaging,with Case 2 combined with hyperthyroidism.In both cases,total thyroidectomy and resection of the retrosternal mass were successfully completed through a low neck collar incision without sternal splitting.In response to the intraoperative finding of tracheomalacia,the anterior wall of the trachea was suspended and fixed with a No.4 silk thread in the shape of an "8" suture.Case 2 was pretreated with dexamethasone to prevent hyperthyroidism.There were no serious postoperative complications and follow-up showed a patent airway.

Key words: retrosternal goiter, hyperthyroidism, tracheal tube suspension with softening

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