甲状腺全切除术的技术改进(附252例报告)  

Technical Improvement of Total Thyroidectomy:A Report of 252 Cases

作　　者：吴高松[1] 马小鹏[1] 刘岩岩[1] 汪杰[1] 尹玉平[1] 易继林[1] 邹声泉[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院甲状腺乳腺外科,武汉430030

出　　处：《华中科技大学学报（医学版）》2009年第6期829-831,共3页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：湖北省自然科学基金(No.2008CDB179);卫生部规划视听教材基金(No.09-VO-15);华中科技大学精品教材基金资助项目

摘　　要：目的探讨技术改进后甲状腺全切除术的安全性。方法回顾性分析2005年1月～2007年12月,采用以"血管骨骼化移行凝闭离断法"为核心的血管处理、精细被膜解剖、"整块切除"等系列技术改进方法进行甲状腺全切除术的252例甲状腺癌病例。结果252例甲状腺全切除术中12例(4.8%)发生短暂性有症状低钙血症,无1例发生永久性甲状旁腺功能低下,无1例发生喉返神经短暂性及永久性损伤。结论甲状腺全切除技术改进后安全、可靠。Objective To study the safety of total thyroidectomy following technical improvement.Methods 252 cases were studied.A series of technique including vessel management technique ＂vessel skeletonized →carryover coagulation → vessel block＂ and meticulous capsular dissection and en bloc excision were adopted in total thyroidectomy in our hospital from Jan.2005 to Dec.2007.Results Of all the 252 cases,12（4.8%）patients had temporary symptomatic hypocalcemia.No one experienced postoperatively permanent hypoparathyroidism or recurrent laryngeal nerve palsy.Conclusion Total thyroidectomy following technical improvement is safe and reliable.

关 键 词：甲状腺 甲状腺切除术 低钙血症 

分 类 号：R653.2[医药卫生—外科学]