颈部微创小切口甲状腺叶切除术的应用  

Applied Research on Thyroidectomy with Minimally Invasive Small Incision on the Neck

作　　者：戈华平[1] 李观华[1] 贺长春[1] 龙谷仔[1] 罗峰[1] 张旭华[1] 

机构地区：[1]井冈山大学医学院附属医院普外科,江西吉安343000

出　　处：《航空航天医学杂志》2009年第10期24-25,共2页Journal of Aerospace medicine

摘　　要：目的:探讨采用颈部微创小切口甲状腺叶切除术的可行性。方法:对21例甲状腺肿块使用超声刀行颈部微创小切口(2~4cm)甲状腺叶切除术。结果:21例手术均顺利完成,行单侧甲状腺部分切除术14例,单侧甲状腺次全切除术5例,双侧甲状腺次全切除术2例。手术切口平均长度3.5cm(2~4cm),平均手术时间50 min(30~75 min),术中出血量均【10ml。术后均未出现饮水呛咳、声音嘶哑、呼吸困难及手足抽搐等症状。术后平均住院时间4d(3~5d)。结论:颈部微创小切口甲状腺切除术是可行的、安全的,而且具有一定的美容效果。Objective:To evaluate the feasibility of thyroidectomy with minimally invasive small incision on the neck.Methods A total of 21 patients underwent thyroidectomy with minimally invasive small incision on the neck(2～4 cm in incision at length)with ultrasonic scalpe1.Results All operations including unilateral partial thyroidectomy(n=14),unilateral subtotal thyroidectomy(n=5) and bilateral subtotal thyroidectomy(n=2)were completed successfully.The mean operation time was 50 minutes(range,30～75 minutes).The intraoperative blood loss was less than 10 ml.No complications occured.The mean postoperative hospital stay was 4days(range,3～5 days).Conclusion:The thyroidectomy with minimally invasive small incision on the neckis feasible and safe effects.

关 键 词：甲状腺切除术 微创 小切口 超声刀 

分 类 号：R653[医药卫生—外科学]