开放性锁骨上入路在甲状腺肿瘤切除术中的临床应用  

The clinical application of the open supraclavicular approach in thyroidectomy

作　　者：马霖杰 王少新[1] 李超[1] 陈建超[1] 蒋明芳 黄忠贵 邓洁 Linjie Ma;Shaoxin Wang;Chao Li;Jianchao Chen;Mingfang Jiang;Zhonggui Huang;Jie Deng(Department of Head and Neck Surgery, Sichuan Cancer Hospital, Chengdu 610000, China;Chengdu Xinhua Hospital, Chengdu 61000china;Ziyang First People's Hospital, Ziyang 641300, China)

机构地区：[1]四川省肿瘤医院头颈外科,成都市610000 [2]成都新华医院 [3]资阳市第一人民医院

出　　处：《中国肿瘤临床》2019年第7期357-360,共4页Chinese Journal of Clinical Oncology

摘　　要：目的:分析开放性锁骨上入路在甲状腺肿瘤切除术中的临床应用。方法:通过比较传统颈前低位弧形切口入路甲状腺切除术同开放性锁骨上入路甲状腺切除术,术后患者美观满意度、手术效果、手术时间等,探讨开放性锁骨上入路甲状腺肿瘤切除术的临床实用性。结果:22例行开放性锁骨入路甲状腺切除术(B 组)较29例行传统切口入路甲状腺切除术(A 组)具有良好的美观满意度(P<0.05),与传统切口具有同样手术疗效。开放性锁骨上入路甲状腺切除术具有良好的美观满意度,与传统切口持有同样手术疗效。结论:开放性锁骨上入路甲状腺肿瘤切除术对于需单侧叶切除的甲状腺良性肿瘤以及部分恶性肿瘤具有良好的临床推广价值,甚至对于大于切口直径的肿瘤仍适用,其在保证手术治疗疗效同时具有较佳的美观度。Objective: To analyze the clinical application of the open supraclavicular approach in thyroidectomy. Methods: The clinical practicability of open supraclavicular thyroidectomy was explored by comparing the traditional anterior low arc incision thyroidectomy procedure with open supraclavicular thyroidectomy in terms of patients' aesthetic satisfaction, effectiveness of the operation, operation time, and so on. Result: Twenty-two cases of open supraclavicular thyroidectomy (group B) had better aesthetic satisfaction than 29 cases of traditional incision thyroidectomy (group A)(P<0.05), and had the same operative effect with traditional incision. Open supraclavicular thyroidectomy is associated with good aesthetic satisfaction, and has the same effect as the traditional incision does. Conclusions: Open supraclavicular thyroidectomy has good clinical value for benign thyroid tumors and some malignant tumors that require unilateral lobectomy, and even for tumors larger than the incision diameter. It has good aesthetic value while ensuring the curative effect of surgery.

关 键 词：甲状腺切除术 开放性锁骨上入路 低位弧形切口入路 

分 类 号：R736.1[医药卫生—肿瘤]