改良乳晕入路腔镜甲状腺良性肿瘤切除术的临床研究  

Clinical research of improved areola approach for endoscopic resection of thyroid benign tumor

作　　者：凤雷[1] 张续民[1] 张恒刚[1] 侯强 牛江平[1] 

机构地区：[1]汉中市人民医院,陕西汉中723000 [2]西安521医院

出　　处：《腹腔镜外科杂志》2013年第8期597-600,共4页Journal of Laparoscopic Surgery

基　　金：陕西省卫生厅科研基金项目(编号:2012D30)

摘　　要：目的:探讨改良乳晕入路腔镜甲状腺良性肿瘤切除术的手术方法及疗效。方法:回顾分析2011年1月至2012年3月为42例患者行改良腔镜甲状腺良性肿瘤切除术的临床资料,经乳沟、乳晕三孔法入路,沿标记线注射膨胀液建立手术通道,术中做好手术记录,术后继续常规治疗,随访3～6个月,以评价手术疗效。结果:手术均顺利完成,无中转开放手术。手术时间30～60 min,平均(47±5)min;术中出血量2～5 ml,平均(3±0.8)ml;术后并发症发生率为2.38%;美容效果良好,患者满意率100%。结论:改良腔镜甲状腺良性肿瘤切除术具有手术创伤小、对血管及神经损伤小、出血等并发症发生率低、美容效果好等优点,是安全、有效、可行的。Objective ： To discuss the procedures and effect of improved areola approach for endoscopic resection of thyroid be- nign tumor. Methods： Retrospective analysis was made on the clinical data of 42 patients with benign thyroid tumors, who were proved pathologically from Jan. 2011 to Mar. 2012 after endoscopic resection of thyroid tumor. One incision was made at cleavage, and two inci- sions were made at mammary areola. The channel for endoscopic operation was established with inflation fluid along the marked line. Detailed record in surgery was made and conventional therapy after surgery was continued. All patients were followed up for three months to six months to observe the safety and cosmetic results of operation. Results ：All the surgeries were accomplished without con- version to open surgery. The mean operative time was （47 -＋ 5 ） min （ range 30-60 rain ） , intraoperative blood loss was （ 3 -＋ 0.8 ） ml （range 2-5 ml） ,rate of postoperative complication was 2.38% , cosmetic result was fine,and rate of patients satisfaction was 100%. Conclusions ： The improved areola approach for endoscopic resection of thyroid benign tumor is safe, effective and feasible, has many ad- vantages, such as mini trauma, minor injury to vessel and nerve, few complications （e. g. hemorrhage） and good cosmetic effect.

关 键 词：甲状腺肿瘤 改良乳晕入路 内窥镜检查 

分 类 号：R736.1[医药卫生—肿瘤]