本院近15年来共收治坠入性胸内地方性甲状腺肿35例,均经手术治疗痊愈,现将诊断及治疗分析如下:1 诊断 当患者来自地甲病流行区,颈部甲状腺肿大,胸前切迹上凹或锁骨上凹触到的甲状腺肿与颈部甲状腺肿相连续,在颈部过伸位仍可触到腺肿的下极,伴气管移位时,并可排除其它甲状腺疾病,应高度怀疑坠入性胸内地甲肿,如随吞咽动作在颈根部触到腺肿下极时即可确诊,如触不到下极,说明腺肿坠入较深或已经固定。也可以让受检者头偏向患侧,如呼吸困难加重,说明胸内甲状腺肿由于体位改变加重了 Hospital of the past 15 years, a total of 35 cases of endemic intractable thymoma were admitted, were cured by surgery, the diagnosis and treatment are as follows: 1 diagnosis of patients with endemic areas of endemic goiter, neck goiter, Thoracic incision on the concave or clavicle concave touches the goiter and neck goat continuous phase in the neck can still reach the extra-gestational edema of the lower pole, with tracheal shift, and can rule out the other thyroid Disease should be highly suspected fall into the thoracic gland swollen, such as with the swallowing motion of the neck at the bottom of the gland swelling can be diagnosed, such as the touch of the lower pole, indicating that the swollen dark or has been fixed. You can also make the subject head biased to the affected side, such as increased breathing difficulties, that thoracic goiter increased due to postural changes