改良低位小切口甲状腺切除术的临床应用  

Clinical application of modified low small incision thyroidectomy

作　　者：王晓华[1] 陈建安[1] 

机构地区：[1]南方医科大学附属小榄医院肿瘤科,中山528415

出　　处：《中华普通外科学文献（电子版）》2011年第3期37-38,共2页Chinese Archives of General Surgery(Electronic Edition)

摘　　要：目的探讨改良小切口甲状腺切除术在甲状腺手术中的临床应用价值。方法回顾性分析我科2006年10月至2010年4月应用改良小切口行甲状腺手术治疗的78例甲状腺结节的临床资料，手术要点包括．切口选择在胸骨上窝处，切口小以及应用超声刀。结果本组78例疗效满意，切口长度3．0～3．5cm，手术时间30～95min，术中出血量少，术后无声音嘶哑，无继发性出血或血肿等并发症。切口一期愈合，于术后第2～4d出院，住院时间4～5d。随访5～24个月，手术切口瘢痕细小、美观。结论改良小切口甲状腺切除术是一种安全、有效的治疗方法，且创伤小、并发症少、恢复快、美容效果好，患者满意度高，值得临床推广应用。Objective To analyze the clinical value of modified low small incision for thyroidectomy. Methods Seventy-eight cases of thyroid nodule underwent the modified low small incision for thyroidectomy from October 2006 to April 2010 were retrospectively analyzed. Highlights of the modified surgery included section choice is in the suprasternal fossa and in a low position, small incision and using an ultrasound scalpel. Results The incisions were 3.0-3.5 cm in length and the operation took 30-95 minutes. There was very little bleeding during the procedures. No postoperative complications, such as hoarse voice, hematoma was observed. The patients were discharged 2-4 days after the operation, and the hospitalization time was 4-5 days. All the patients were followed up for 5-24 months. Conclusion The modified low small incision for thyroidectomy is a safe and effective method, which features less trauma and quick recovery and an aesthetic effect, and therefore is worth promoting in clinical practice.

关 键 词：甲状腺切除术 小切口 微创 超声刀 

分 类 号：R653[医药卫生—外科学]