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为了解包绕食管、下咽的甲状腺肿瘤在诊断和治疗上是否有其独特性，我们对６例该类型病例的术前诊断、手术处理进行回顾性总结。结果发现６例次患者的临床表现中，吞咽梗噎感占６６．７％；４例次患者术前Ｂ超提示肿瘤包绕食管、下咽；３例次患者术前经ＣＴ证实；近半数患者需术中明确。手术均采用先断峡部，由内往外翻的术式，行完整的腺叶切除，病理结果５例为滤泡性腺瘤，１例为乳头状腺癌。该结果揭示包绕食管、下咽的甲状腺瘤在诊断和治疗上有其独自的临床特点。
To understand whether there is uniqueness in the diagnosis and treatment of thyroid tumors surrounding the esophagus and hypopharynx, we retrospectively reviewed the preoperative diagnosis and surgical treatment of 6 cases of this type of cases. The results showed that 6 cases of patients with clinical manifestations, swallowing stenosis accounted for 66.7%; 4 cases of patients with preoperative B-mode tumor around the esophagus, hypopharyngeal; 3 cases of patients confirmed by CT before surgery; nearly half The patient needs to be clear during surgery. All the operations were performed using the isthmic isthmus. From the inside to the outside of the operation, complete lobectomy was performed. Pathological findings were follicular adenomas in 5 cases and papillary adenocarcinoma in 1 case. This result reveals that the thyroid tumor surrounding the esophagus and hypopharynx has its own clinical features in diagnosis and treatment.