内镜治疗甲状腺功能亢进7例报告  

Endoscopic thyroidectomy for hyperthyroidism

作　　者：张能维[1] 路夷平[1] 赵爱民[1] 王之清[1] 李凯[1] 王桐生[1] 刘晨[1] 王睿斌[1] 

机构地区：[1]北京世纪坛医院腹腔镜中心,北京100038

出　　处：《中国微创外科杂志》2006年第7期511-512,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的总结内镜治疗甲状腺功能亢进（甲亢）的经验。方法7例原发性或继发性甲亢，内镜经胸人路行甲状腺全切或次全切除术。结果7例手术均成功，无中转开放手术。手术时间130～260min，平均168min；术中出血量10～200ml，平均70ml。无喉返、喉上神经损伤，无术后出血等并发症。术后恢复良好，近期随访美容效果满意。随访1～12个月，平均5．1月，无复发，2例出现甲状腺功能低下，1例在术后2个月时恢复。结论内镜治疗甲亢技术安全、可行。除常规手术前甲亢准备外，必须行CT检查确认腺体大小，确定残留腺体的大小和位置。Objective To summarize the experience of endoscopic thyroidectomy for hyperthyroidism. Methods Endoscopic total or subtotal tbyroidectomy was performed through anterior chest wall approach in 7 patients with primary or secondary hyperthyroidism. Results The operation was successfully performed in all the 7 patients. The operation time was 130 - 260 min （mean, 168 min）, and the intraoperative blood loss was 10 -200 ml （mean, 70 ml）. No recurrent laryngeal nerve or superior laryngeal nerve injuries, or postoperative hemorrhage, or conversions to open surgery were encountered. The postoperative recovery was uneventful. Short-term follow-up observations demonstrated satisfactory cosmetic results and no recurrence. Hypothyroidism occurred in 2 patients and thyroid functions restored to normal levels in 1 of them 2 months after operation. Conclusions Endoscopic tbyroidectomy is a safe and effective procedure for hyperthyroidism. Apart from conventional pre-operative preparation, CT examination is also necessary for identifying the measurements of thyroid glands and determining the proportion and location of residual glands.

关 键 词：内镜 甲状腺功能亢进症 甲状腺全切除术 甲状腺次全切除术 

分 类 号：R653[医药卫生—外科学]