3例腔镜下经口入路行甲状腺切除术的临床观察  

Clinical Observation on the Application of Transoral Approach in 3 Cases of Endoscopic Thyroidectomy

作　　者：徐敬修 徐东楚 杨明[1] 王建国[1] 张雷[1] 陈安[1] 朱明珠[1] 蒋永军[1] 孙佩全 洪玉[2] 谢金敏[3] 

机构地区：[1]淮安市淮阴医院普外科,江苏省淮安市223300 [2]新疆医科大学基础医学院生物学教研室,新疆乌鲁木齐市830011 [3]中国人民解放军第四七四医院普外科,新疆乌鲁木齐830011

出　　处：《现代生物医学进展》2014年第26期5112-5114,共3页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(31160231);新疆自治区高校科研计划重点项目(XJEDH2010137)

摘　　要：目的：探讨腔镜下经口入路行甲状腺切除术治疗甲状腺疾病的可行性以及临床应用价值。方法：选择2012 年4 月～2013 年6 月就诊于淮安市淮阴医院普外一科的3 例良性甲状腺病变患者，行腔镜下经口入路甲状腺切除术，观察并总结患者的手术情况和术后恢复情况。结果：3 例患者手术均成功，手术时间为100～240 min，平均170 min。术中无中转，出血量10-40 ml，切口未放引流，术后恢复良好，无并发症发生。结论：腔镜下经口入路行甲状腺切除术安全有效，可作为治疗甲状腺疾病的另一种微创手术方式进行深入探讨。Objective： To evaluate the feasibility and clinical value oftransoral laparoscopic thyroidectomy. Methods： From April 2012 to June 2013, 3 patients with benign thyroid were treated by transoral laparoscopic thyroidectomy in the first department of general surgery, Huaiyin Hospital of Huaian. The surgery and postoperative recovery of patients were observed and summarized. Results： Transoral laparoscopic thyroidectomy was performed successfully in all 3 patients. The operation time was 100 min-240 min, averaging 170 min. Blood loss during the operation was 10 mL-40 mL. There was no conversion to open surgery, no recurrent laryngeal nerve injury, nor parathyroid glands dysfunction. Conclusion： Transoral laparoscopic thyroidectomy was safe and efficient for thyroidectomy. It could be used as another way of minimally invasive surgery for further discussion.

关 键 词：甲状腺切除术 腔镜 手术治疗 

分 类 号：R653[医药卫生—外科学] R581[医药卫生—临床医学]