复杂甲状腺手术技巧与微创理念的应用  

Combined Application of Operation Technique and Minimal Invasion Concept in Complicated Thyroidectomy

作　　者：周毅[1] 冯景[1] 任洺[1] 刘晓岭[1] 宋春芳[1] 

机构地区：[1]哈尔滨医科大学附属第一医院甲乳外科,黑龙江哈尔滨150001

出　　处：《临床普外科电子杂志》2013年第2期26-29,43,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的甲状腺手术技巧结合微创理念提高复杂甲状腺手术效果。方法通过手术轻柔操作,术中综合无血技术的应用,引流的合理应用,粘连的预防以及减少手术并发症的措施等微创理念的应用,改进手术技巧对124例复杂甲状腺手术进行分析,并与普通手术组对比观察各项指标。结果同普通手术组相比较,复杂手术组在平均手术时间、术后引流率、服用优甲乐的比率明显高于或长于普通手术组,在术后复发率方面明显低于普通手术组(P<0.05)。在术后并发症发生率、患者对切口满意度方面两组则无明显差异(P>0.05)。结论提高手术技巧并应用微创理念可以使复杂手术变得简单,从而获得最佳手术效果。Objective Combined application of operation technique and minimal invasion concept in complicated thyroidectomy to improve operation effect. Methods Compared with general thyroidectomy,we analyzed 124 patients underwent complicated thyroidectomy through improving operation technique combined with minimal invasion application including gently manipulation during operation, combined no-blood technique application, reasonable application of drainage, adhesive prevention, measures to reduce post-operation complication,and observed the following items. Results Compared to general thyroidectomy group, average operation time, rate of drainage and ratio of taken Euthyrox were much higher or longer than those of in general group,while recurrence rate was much lower( P<0.05) . There were no significant difference in complication incidence and patient satisfaction between these two groups( P>0.05).Conclusion Combined application of operation technique and minimal invasion concept could change complicated operation into simple operation and get the best operation effect.

关 键 词：复杂 甲状腺切除术 手术技巧 微创 

分 类 号：R68[医药卫生—骨科学] R61[医药卫生—外科学]