经胸锁乳突肌体外悬吊预防巨大甲状腺肿术后气管塌陷(1)
[摘要] 目的 探讨巨大甲状腺肿伴气管软化的手术处理,预防患者术后出现气管塌陷窒息的严重后果。 方法 回顾性分析2010年1月~2016年12月我院治疗的12例巨大甲状腺肿伴气管软化的手术处理,甲状腺切除后采用可吸收缝线经胸锁乳突肌体外悬吊。 结果 所有患者均恢复良好,无一例气管切开。11例顺利拆线,其中1例经打紧悬吊线避免了窒息。另外1例经打紧悬吊线、延长悬吊时间后拆线。至少2例患者通过此方法避免了气管切开。结论 可吸收缝线经胸锁乳突肌体外悬吊对软化气管的处理简单、有效、可调控。[关键词] 巨大甲状腺肿;气管软化;体外悬吊;可吸收缝线
[中图分类号] R581.1 [文献标识码] B [文章编号] 1673-9701(2017)28-0042-03
[Abstract] Objective To investigate the surgical treatment of giant goiter with tracheomalacia and to prevent the serious consequences of tracheal collapse asphyxia in patients after surgery. Methods 12 cases of giant goiter with tracheomalacia treated in our hospital from January 2010 to December 2016 were retrospectively analyzed. Sternocleidomastoid muscle was extracorporeally suspended by absorbable suture after thyroidectomy. Results All patients recovered well and none had a tracheotomy. Stitches in 11 cases were successfully removed ......
您现在查看是摘要页,全文长 4139 字符。