全腔镜甲状腺手术的临床治疗  

Clinical study on endoscopic thyroidectomy

作　　者：张艳红[1] 彭福森[1] 陈鲜芳 谭孟婷 邹攀[1] 刘婷婷 

机构地区：[1]娄底市中心医院耳鼻咽喉头颈外科,湖南娄底417000

出　　处：《中国耳鼻咽喉颅底外科杂志》2017年第5期479-481,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：2014年娄底市科技局资助项目

摘　　要：目的探讨腔镜下甲状腺切除术的可行性和安全性。方法回顾性分析于2015年1月~2016年2月在娄底市中心医院耳鼻咽喉头颈外科就诊的甲状腺疾病并行全腔镜手术患者的临床资料,探讨全腔镜手术的临床治疗效果。106例患者分别采用胸乳径路三孔法(62例)及腋窝径路三孔法(44例),术后给予支持对症等治疗。结果 106例甲状腺腺叶切除术均获成功。手术时间为45~180 min,术中出血量为8~60 ml,均未发生术后大出血,未出现喉返神经、喉上神经及甲状旁腺损伤等并发症。术后随访6~12个月,未见明显复发。结论全腔镜甲状腺切除术具有切口小、美容满意度高等优点,是可行而安全的手术方法,越来越为患者、尤其是年轻患者所接受。Objective To explore the feasibility and safety of endoscopic thyroidectomy.Methods Clinical data of106 patients underwent endoscopic thyroidectomy in our department between Jan.2015 and Feb.2016 were analyzed retrospectively.The endoscopic thyroidectomy was performed via anterior chest and breast approach in 62 cases and axillary approach in 44.The therapeutic effect was evaluated.Results Endoscopic thyroid lobectomy was successfully performed in all 106 cases.The operation time was 45 to 180 minutes with blood loss volume of 8 to 60 ml.No postoperative complications such as massive hemorrhage,injury of recurrent laryngeal nerve,superior laryngeal nerve and parathyroid gland occurred.Postoperative follow-up for 6 to 12 months showed no recurrence.Conclusion With advantages of small incision,less bleeding and high degree of satisfaction with cosmetic results,endoscopic thyroidectomy is feasible and safe,and so is more widely accepted by patients,especially young patients.

关 键 词：甲状腺 外科手术 腔镜 

分 类 号：R653[医药卫生—外科学]