PDF(Pubmed)
Abstract：
UNASSIGNED: Thoracic inlet view radiograph is an investigation for assessing patients with goitre in many centres in the sub-Saharan-region. However, there is paucity of information on its usefulness in the diagnosis of retrosternal goitre (RSG) and in planning for thyroidectomy.
UNASSIGNED: A review of patients with goitre managed in the Division of Endocrine Surgery, University College Hospital, Ibadan, Nigeria, between 2002 and 2014 was done. Data were obtained from Operating Theatre Log and electronic data archive of the Division. Clinical RSG (CRSG) was taken as a gland that the examining fingers could not get below its lower margin and Radiological RSG (RRSG) on thoracic inlet view was any extension of the thyroid gland beyond the thoracic inlet. Intra-operatively, if any part of the gland extends beyond the thoracic inlet it was considered as an RSG.
UNASSIGNED: 221 (96.5%) of the 229 patients who had thoracic inlet plain radiograph were included in this study. The Male to Female ratio was 1:5.5. WHO grade III goitre was seen in 56.1% of the patients and 43.9% had grade II goitre. The CRSG, RRSG and Intra-operative RSG were seen in 7.7%, 16.7% and 17.6% respectively. The specificity and sensitivity of clinical examination in determining RSG was 88.7% and 94.1% and that of Thoracic inlet radiograph was 97.8% and 94.6% respectively.
UNASSIGNED: It is a useful study for screening patients with goitre for retrosternal extension, however it could not be used to determine the need for extra-cervical surgical access during thyroidectomy.
UNASSIGNED: A review of patients with goitre managed in the Division of Endocrine Surgery, University College Hospital, Ibadan, Nigeria, between 2002 and 2014 was done. Data were obtained from Operating Theatre Log and electronic data archive of the Division. Clinical RSG (CRSG) was taken as a gland that the examining fingers could not get below its lower margin and Radiological RSG (RRSG) on thoracic inlet view was any extension of the thyroid gland beyond the thoracic inlet. Intra-operatively, if any part of the gland extends beyond the thoracic inlet it was considered as an RSG.
UNASSIGNED: 221 (96.5%) of the 229 patients who had thoracic inlet plain radiograph were included in this study. The Male to Female ratio was 1:5.5. WHO grade III goitre was seen in 56.1% of the patients and 43.9% had grade II goitre. The CRSG, RRSG and Intra-operative RSG were seen in 7.7%, 16.7% and 17.6% respectively. The specificity and sensitivity of clinical examination in determining RSG was 88.7% and 94.1% and that of Thoracic inlet radiograph was 97.8% and 94.6% respectively.
UNASSIGNED: It is a useful study for screening patients with goitre for retrosternal extension, however it could not be used to determine the need for extra-cervical surgical access during thyroidectomy.
摘要：
■胸部入口X线片是一项评估撒哈拉以南地区许多中心甲状腺肿患者的调查。然而,关于其在胸骨后甲状腺肿(RSG)诊断和甲状腺切除术计划中的有用性的信息很少。
■对内分泌外科治疗甲状腺肿患者的回顾，大学学院医院,伊巴丹,尼日利亚,从2002年到2014年完成。数据来自手术室日志和该司的电子数据档案。临床RSG（CRSG）被视为检查手指无法低于其下边缘的腺体，而胸部入口视图上的放射学RSG（RRSG）是甲状腺超出胸部入口的任何延伸。术中,如果腺体的任何部分延伸超过胸部入口，则将其视为RSG。
■229例有胸廓入口片的患者中有221例（96.5％）被纳入本研究。男女比例为1:5.5。WHOIII级甲状腺肿在56.1％的患者中可见，而43.9％的患者患有II级甲状腺肿。CRSG,RRSG和术中RSG分别为7.7%,分别为16.7%和17.6%。临床检查确定RSG的特异性和敏感性分别为88.7％和94.1％，胸部入口X光片的特异性和敏感性分别为97.8％和94.6％。
■这是一项有用的研究，用于筛查甲状腺肿患者的胸骨后延伸，然而，它不能用于确定在甲状腺切除术期间是否需要颈外手术。
■对内分泌外科治疗甲状腺肿患者的回顾，大学学院医院,伊巴丹,尼日利亚,从2002年到2014年完成。数据来自手术室日志和该司的电子数据档案。临床RSG（CRSG）被视为检查手指无法低于其下边缘的腺体，而胸部入口视图上的放射学RSG（RRSG）是甲状腺超出胸部入口的任何延伸。术中,如果腺体的任何部分延伸超过胸部入口，则将其视为RSG。
■229例有胸廓入口片的患者中有221例（96.5％）被纳入本研究。男女比例为1:5.5。WHOIII级甲状腺肿在56.1％的患者中可见，而43.9％的患者患有II级甲状腺肿。CRSG,RRSG和术中RSG分别为7.7%,分别为16.7%和17.6%。临床检查确定RSG的特异性和敏感性分别为88.7％和94.1％，胸部入口X光片的特异性和敏感性分别为97.8％和94.6％。
■这是一项有用的研究，用于筛查甲状腺肿患者的胸骨后延伸，然而，它不能用于确定在甲状腺切除术期间是否需要颈外手术。
