改进手术方式减少甲状腺术后切口粘连中的作用  

Modified Modus Operandi to Reduce Incision Accretion after Thyroid Operation

作　　者：梁永明 黄子团 黄静光 翁世廉 江泽宇 凌幸发 曾锋 韦有亮 刘龙波 

机构地区：[1]广西来宾市人民医院普外科,广西来宾546100

出　　处：《临床医学工程》2009年第1期45-46,共2页Clinical Medicine & Engineering

摘　　要：目的:在保证手术安全和疗效的前提下,探讨经典甲状术式改良对降低甲状腺术后创面粘连发生率中的作用的临床价值。方法:对我院1999年2月～2008年10月收治的286例甲状腺病人施行低位小切口、不断颈前肌群、改进引流管的术式进行分析。结果:本组全用改良法手术治疗,治疗过程顺利,出血少,无喉上喉返神经损伤,切口愈合美观,无切口粘连现象,均痊愈出院。结论:甲状腺的改良切除手术,具有手术创伤减少,手术时间缩短,切口疤痕粘连发生率明显降低等优点,值得临床推广。Objective： To discuss the clinical value of modified modus operandi in reducing incision accretion after thyroid operation. Method： Retrospectively reviewed 286 cases of thyroid gland operation during February 1999 to October 2008 in our hospital, which received low portion small incision, preservation of anterior neck muscles and modification of drainage tube. Result： The modified modus operandi was used in the group to improve surgical treatment, the successful course of treatment, less bleeding, no hose on the recurrent laryngeal nerve injury, wound healing beautiful, no incision adhesion, and all the patients were discharged. Conclusion： The modus operandi has the advantages of reduced operation damage, significantly lower incision accretion rate and shortened operation time, which is worthy of clinical promotion.

关 键 词：甲状腺 手术方法 切口粘连 

分 类 号：R544.1[医药卫生—心血管疾病]