CT测量乳晕入路腔镜甲状腺手术操作空间的临床意义  

Clinical significance of CT measurement of operating space in endoscopic thyroid surgery via areola approach

作　　者：檀谊洪 张永泉 陈晓意 陈达伟 TAN Yihong;ZHANG Yongquan;CHEN Xiaoyi;CHEN Dawei(Department of Thyroid and Vascular Surgery,the Sixth Affiliated Hospital of South China University of Technology,Foshan 528200,Guangdong Province,China)

机构地区：[1]华南理工大学附属第六医院甲状腺血管外科,广东省佛山市528200

出　　处：《微创医学》2023年第1期38-42,共5页Journal of Minimally Invasive Medicine

摘　　要：目的探讨CT测量乳晕入路腔镜甲状腺手术操作空间的临床意义。方法回顾性分析488例乳晕入路腔镜下甲状腺手术患者的CT资料,收集颈部操作空间长度(L)、高度(H)、腔镜器械与气管食管沟角度(α)数据,根据以上数据计算腔镜器械操作盲区(Lb)及有效区范围(Le)。结果女性L值大于男性,H值小于男性,α值大于男性,差异均有统计学意义(均P<0.05)。男性Lb值大于女性,Le值小于女性,差异均有统计学意义(均P<0.05)。结论国人女性比男性更适合乳晕入路腔镜甲状腺手术,多数男性不适合乳晕入路进行中央区清扫。CT测量乳晕入路腔镜甲状腺手术操作空间的方法,具有很好的临床指导意义。Objective To investigate the clinical significance of CT measurement of operating space in endoscopic thyroid surgery via areola approach.Methods The CT data of 488 patients undergoing endoscopic thyroid surgery via areola approach were retrospectively analyzed.The data of neck operation space length(L),height(H),angle between endoscopic instrument and tracheoesophageal sulcus(α)were collected.According to the above data,the blind area(Lb)and the effective area(Le)ranges of endoscopic instrument operation were calculated.Results Compared with males,females had higher L value andαvalue,and lower H value,with statistically significant differences(all P<0.05).Compared with females,males had higher Lb value and lower Le value,with statistically significant differences(all P<0.05).Conclusion Chinese females are more suitable for endoscopic thyroid surgery via areola approach than males,while most males are not suitable for central dissection via areola approach.CT measurement of operating space in endoscopic thyroid surgery via areola approach has good clinical guiding significance.

关 键 词：乳晕入路腔镜甲状腺手术 中央区淋巴结清扫术 甲状腺癌 CT 

分 类 号：R581[医药卫生—内分泌]