甲状腺良性结节的外科处理  

Surgical Treatment for benign thyroid nodule

作　　者：李新苹[1] 

机构地区：[1]东南大学附属南京江北人民医院甲乳整形外科,江苏南京210048

出　　处：《实用临床医药杂志》2012年第11期133-134,共2页Journal of Clinical Medicine in Practice

摘　　要：目的分析甲状腺结节手术中的处理要点,了解如何降低手术并发症。方法对178例接受手术治疗的良性甲状腺结节患者资料进行回顾性分析,总结超声及颈部CT与术中病灶发现的相关性以及改进切口、缝合技术及术中操作对术后并发症的影响。结果超声联合颈部CT可以发现病灶结节的多少及周边淋巴结情况;低位切口及缝合技术的改进减少疤痕的存在,保持美观;术中保留背侧甲状腺组织减少喉返神经的损伤;放置引流可以减少颈部肿胀时间。结论通过超声与CT联合可以防止术中结节的遗漏,低位切口及缝合技术的改进可以减少疤痕,术中合理处理可以明显减少术后并发症的发生。Objective To analyze management techniques of surgical treatment for benign thyroid nodule（BTN）,and explore how to reduce operation complications.Methods The clinical data of 178 BTN patients who underwent surgical treatment were retrospectively analyzed.The correlation between ultrasound and neck CT and intraoperative lesions,ways to improve incisions,suture techniques and the influence of intraperative operations on postoperative complications were summarized.Results Ultrasound combined with neck CT can identify the number of lesions and status of the peripheral lymph nodes.Lower position incision and suture technique improvement can reduce scars.Intraoperative reservation of dorsal thyroid tissue can reduce the recurrent laryngeal nerve injury.Drainage can reduce neck swelling time.Conclusion Ultrasound combined with CT can prevent the omission of intraoperative nodules,lower position incision and suture techniques can reduce scars.Appropriate intraoperative management technique can significantly reduce the incidence of postoperative complications.

关 键 词：甲状腺良性结节 超声 CT 

分 类 号：R581[医药卫生—内分泌]