无注气内镜下甲状腺次全切除术的手术护理  

OPERATION NURSING OF SUBTOTAL THYROIDECTOMY UNDER ENDOSCOPE WITH NO CAS INJECTION

作　　者：齐小玲[1] 胡秀琴[1] 

机构地区：[1]东莞市石龙人民医院,广东东莞523321

出　　处：《现代医院》2005年第7期98-99,共2页Modern Hospitals

摘　　要：目的探讨无注气内镜下甲状腺次全切除术的手术方法及术中护理要点。方法6例经右侧锁骨上外侧1/3处行长2.5cm的小切口进入,分离皮下致颈阔肌后纵形切开颈白线,分离胸骨舌骨肌和胸骨甲状腺肌,暴露甲状腺,建立置镜通道,在内镜引导下用超声刀分别离断甲状腺下,上极血管,超声刀切割甲状腺,缝合创面,检查无活动性出血,放置引流管,皮内缝合手术切口,完成手术。结果刀口隐蔽完美,颈部无暴露的切口,手术术野清晰,出血减少,手术中副损伤减少。结论术前访视,术中积极的护理配合及观察对于无注气内镜下甲状腺手术的成功十分重要。Objective To investigate the operation method and nursing points of subtotal thyroidectomy under endoscope with no gas injection. Methods The 2.5 cm incision was made outside 1/3 right clavicle. Longitudinally incise linea alba cericalis after separating platysmal, then separate sternohyoid and sternothyroid muscles to show thyroid. Thyroid and its blood vessles were cut by ultra-knife under the leading of endoscope. Surface of thyroid wound were sutured after placing drainage tube then the incision of skin closed with intracutaneous suture. Results Knife edge was concealment perfectly, no incision exposure in cervix, operation field is clear with less bleeding and side-injury. Conclusion Active nursing cooperation and observation including visiting patients during operation was very important for the success of thyroid operation under endoscope with no gas injection.

关 键 词：无注气内镜 甲状腺次全切除术 手术护理 护理技术 病情观察 

分 类 号：R653[医药卫生—外科学] R473.6[医药卫生—临床医学]