无注气内镜辅助下锁骨下径路甲状腺手术临床研究  

Clinical study on gasless video.assisted endoscopic thyroidectomy by infraclavicular wall

作　　者：许教远[1] 金红[1] 陈伟南[1] 李军政[1] 梁悦浓[1] 

机构地区：[1]东莞市太平人民医院耳鼻喉头颈外科,广东省东莞523900

出　　处：《中国基层医药》2013年第10期1491-1492,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨无注气内镜辅助下锁骨下径路甲状腺手术的临床价值。方法 采用锁骨下切口、内窥镜辅助下行甲状腺手术15例,其中13例行单侧甲状腺次全切除,2例行双侧甲状腺次全切除。所有患者均行喉返神经探查并保护,保护甲状旁腺。结果 15例患者术后无声音嘶哑、手足抽搐,皮瓣无血肿、淤血,切口愈合好。结论 无注气内镜辅助下锁骨下径路甲状腺手术,同样能达到传统开放性手术要求原则（甲状腺次全切除并保护好喉返神经及甲状旁腺）,该术式切口隐蔽、美观,不于颈前余留瘢痕,适应于美容效果要求高的病患群体。Objective To evaluate the clinical value of gasless video-assisted endoscopic thyroidectomy by infraclavicular wall.Methods 15 cases received gasless video-assisted endoscopic thyroidectomy by infraclavicular wall.13 cases underwent total thyroidectomy,2 cases underwent subtotal thyroidectomy.All 15 cases were protected recurrent laryngeal nerve and parathyroid by inspecting during the operation.Results All 15 patients were cured without hoarse and tetany,and the flaps without hematomas and extravasated blood.Conclusion Gasless video-assisted endoscopic thyroidectomy by infraclavicular also can reach the principle demand by the tradional opening way.As the supremacy way of aesthetic and hidden,it can be used to the patients who want high request on faces.

关 键 词：甲状腺切除术 内窥镜检查 

分 类 号：R653[医药卫生—外科学]