被膜解剖技术用于甲状腺全切除术  

Capsular Dissection Technique in Total Thyroidectomy

作　　者：陈杨[1] 李文杰[1] 林乐岷[1,2] 

机构地区：[1]哈尔滨医科大学第一临床医学院甲状腺乳腺外科,黑龙江哈尔滨150001 [2]卫生部细胞移植重点实验室,黑龙江哈尔滨150001

出　　处：《中国临床医学》2011年第5期708-710,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:介绍应用精细化被膜解剖技术行甲状腺全切除术治疗甲状腺疾病的体会。方法:回顾分析应用精细化被膜解剖技术行甲状腺全切术治疗132例甲状腺良性或恶性疾病患者的临床资料。结果:发生暂时性甲状旁腺功能低下症4例,在术后4周内恢复;发生暂时性喉返神经麻痹1例,在术后3个月内恢复;无发生永久性甲状旁腺功能低下症、永久性喉返神经损伤和永久性喉上神经损伤病例。结论:应用精细化被膜解剖技术行甲状腺全切术有效避免了永久性甲状旁腺功能低下症、喉返神经和喉上神经损伤并发症的发生。Objective：To introduce the capsular dissection technique in total thyroidectomy. Methods： Retrospective analyses of 132 patients with thyroid benign and malignant disease using the capsular dissection technique in total thyroidectomy. Results： Four patients had temporary hypoparathyroidism and restored within four weeks. One had temporary recurrent laryngeal nerve paralysis and restored within three months. None had permanent hypoparathyroidism or permanent recurrent laryngeal nerve injury or permanent superior la ryngeal nerve injury. Conclusions： The capsular dissection technique in total thyroidectomy avoids permanent hypoparathyroidism, per manent recurrent laryngeal nerve paralysis, and permanent superior laryngeal nerve injury.

关 键 词：甲状腺全切术 被膜解剖技术 并发症 

分 类 号：R653[医药卫生—外科学]