【摘要】 目的 探讨胸骨后甲状腺肿的诊断和手术方式。 方法 收集1993～2004年间手术及病理证实为胸骨后甲状腺肿8例的临床资料。 结果 均以颈部低领状切口入路顺利完成手术，术后发生甲状腺危象2例，甲状腺功能减退1例，无喉返神经损伤及其他严重并发症，均临床治愈出院。 结论 (1)认识腺肿压迫气管引起气管痉挛等继发临床表现，并在围手术期加以控制，包括服碘、抗炎、解痉等药物治疗;(2)颈部低领状切口完全可满足本组胸骨后甲状腺肿切除术的需要。

    关键词 胸骨后甲状腺肿 气管痉挛 继发症状 颈部切口

    Clinical experience of the resection in8cases OF substernal goiter

    Jiang Yunfu，Sun Zhiqian，Chen ZHao

    Department of Thoracic Surgery，The Affiliated Bo-Ai Hospital of Wuhan University of Science and Technology，Wuhan430081

    【Abstract】 Objective To discuss the diagnosis and operation of substernal goiter.Methods The clinical data of8cases of substernal goiter which resected and pathologically proved in our department from1993to2004was collected.Results The resection via lower collar incision were performed successfully in all cases，there were2cases of thyroid crisis and hypothyroidism1case in postoperations，neither incidence recurrent laryngeal nerve paralysis ......