鼻内镜辅助下经锁骨下入路甲状腺手术的临床观察  

Clinical observation of thyroidectomy with endoscopic instruments through trans-subclavian approach

作　　者：黄章模[1] 杨田福[1] 邱华明[1] 邹大和[1] 梁华锋[1] 

机构地区：[1]化州市人民医院耳鼻咽喉科,广东化州525100

出　　处：《赣南医学院学报》2013年第1期48-49,58,共3页JOURNAL OF GANNAN MEDICAL UNIVERSITY

摘　　要：目的:探讨鼻内镜辅助下经锁骨下入路甲状腺手术的有效性、安全性及可行性。方法:39例患者经锁骨下入路无注气鼻内镜辅助下甲状腺手术,其中甲状腺部分切除术16例,甲状腺腺叶切除术23例。结果:39例患者均顺利完成手术,无1例中转开放手术。术后均未出现喉返神经、喉上神经及甲状旁腺损伤等并发症,随访1年,局部肿物无复发,切口较小且隐蔽,美容效果满意。结论:鼻内镜辅助下经锁骨下入路甲状腺手术安全可靠,颈部不遗留手术疤痕,美容效果满意。Objective:To discuss the effectiveness,safety and feasibility of thyroidectomy with endoscopic instruments through trans-subclavian approach.Methods:39 cases were operated by thyroidectomy with gasless endoscopic through trans-subclavian approach,16 cases were treated with partial thyroidectomy,and the other 23 cases were treated with thyroid gland lobectomy.Results:A total of 39cases were performed thyroidectomy successfully and no cases were converted to open operation.There were no surgical complications such as injuries of postoperative recurrent laryngeal nerve,the superior laryngeal nerve and parathyroid.With follow-up for one year,no local recurrence were found.All 39 patients were satisfied with smaller incisions,hidden incision and cosmetic effects of the operation.Conclusions:Thyroidectomy with endoscopic instruments through trans-subclavian approach is feasible and safe.This technique has more cosmetic effects and no scar left on neck.

关 键 词：鼻内镜辅助 锁骨下入路 甲状腺切除术 

分 类 号：R653[医药卫生—外科学]