腔镜辅助颈前小切口甲状腺手术的探讨  

Study of Minimally Incisional Thyroidectomy with Endoscopic

作　　者：陈永年[1] 罗光辉[1] 冉墨[1] 

机构地区：[1]南方医科大学附属新会医院普通外科,广东江门529100

出　　处：《河北医学》2011年第6期762-764,共3页Hebei Medicine

摘　　要：目的:探讨腔镜辅助下小切口甲状腺手术的可行性和美容效果。方法:对l28例各种甲状腺疾病患者随机分成三组,分别行传统手术、经乳晕入路腔镜手术和腔镜颈前小切口手术,比较三组的治疗效果。结果:三组手术均取得成功(其中腔镜下小切口组完成40例)。手术平均时间分别为,76 min、135 min、65 min;术中平均出血量分别为38mL、32 mL、26 mL;术后引流量分别为:76±12.5mL,93±21.6 mL,34±11.8 mL;术后声嘶呛咳例数为:0,1,0,全组未出现手足麻木或抽搐病例。腔镜辅助下小切口组病人对颈部切口较为满意。结论:腔镜辅助下小切口甲状腺手术的时间较短,术中及术后的引流量较小,未出现不良并发症。掌握好腔镜颈前小切口甲状腺手术的指征,精细操作,采用内镜辅助手术治疗甲状腺疾病是安全可行的,该术式损伤小、恢复快、也有较好的美容效果。Objective：To explore the feasibility and cosmetology of transcervical minimally incisional thyroidectomy assisted with endoscopic.Method：128 patients with various thyroid diseases were randomly divided into three groups.The three groups underwent traditional surgery,laparoscopic surgery via breast and minimally incisional endoscopic thyroidectomy respectively.Finally,We compared the effect of the three groups.Result：All of the three groups had been performed successfully.The group of minimally incisional endoscopic thyroidectomy had completed 40 cases.The mean operative time was 76 min,135 min and 65 min.The mean blood loss was 38mL,32 mL and 26 mL.The postoperative drainage was 76±12.5 mL,93±21.6 mL,34±11.8 mL.the Hoarseness and cough after operation was 0 case,1 case and 0 case in three group respectively.The whole group did not appear limb numbness or convulsions.Conclusions：Minimally incisional endoscopic thyroidectomy has short operation time and small intraoperative and postoperative drainage.All operations have no adverse complications.This procedure is safety,feasibility and with cosmetic results.

关 键 词：甲状腺手术 腔镜 小切口 

分 类 号：R653[医药卫生—外科学]