口腔前庭单切口入路腔镜下行甲状腺癌中央区淋巴结清扫术的临床体会  

Clinical experience of endoscopic lymph node dissection in the central region for thyroid carcinoma through single oral vestibular incision

作　　者：曾瑜 黄汉艺 黄颢 余岸松[2] ZENG Yu;HUANG Han-yi;HUANG Hao;YU An-song(The Second Affiliated Hospital of Guangdong Medical University,Zhanjiang 524003,China;Guangdong Ocean University,Zhanjiang 524088,China)

机构地区：[1]广东医科大学附属第二医院,广东湛江524003 [2]广东海洋大学,广东湛江524088

出　　处：《广东医科大学学报》2020年第2期225-227,共3页Journal of Guangdong Medical University

摘　　要：目的总结口腔前庭单切口入路腔镜下行甲状腺癌中央区淋巴结清扫的临床经验。方法采用口腔前庭单切口入路腔镜下治疗甲状腺癌患者11例,并同时在腔镜下行颈部中央区淋巴结清扫,分析手术效果。结果术后患者均无声音嘶哑、饮水呛咳、抽搐等临床症状,前庭伤口愈合均满意,颈部完全无瘢痕,吞咽牵拉感觉不明显。术后3个月颈部彩超检查均无特殊。结论经口腔前庭单切口入路腔镜下行甲状腺癌中央区淋巴结清扫术安全可行的,值得推广。Objective To summary the clinical experience of endoscopic lymph node dissection in the central region for thyroid carcinoma through single oral vestibular incision. Methods 11 cases of thyroid carcinoma received endoscopic treatment through single oral vestibular incision while receiving the endoscopic lymph node dissection in the central region of the neck. The operative effect was summarized and analyzed. Results After the operation, no patients showed such clinical signs as hoarseness, bucking or convulsion. All the vestibular wounds healed satisfactorily. There was no scar on the neck, and the feeling of pull during swallowing was not obvious. There was no abnormality in color Doppler examination of the neck 3 months after operation. Conclusion It is safe and feasible to dissect the lymph nodes in the central region of the neck under endoscopy, which is worth clinical promotion.

关 键 词：甲状腺癌 口腔前庭 腔镜手术 颈部中央区淋巴结清扫术 

分 类 号：R736.1[医药卫生—肿瘤]