颈侧方切口胸锁乳突肌肌间入路甲状腺手术中国专家共识(2024版)  

Expert consensus on sternocleidomastoid intermuscular approach through a lateral cervical incision of thyroid surgery(2024 edition)

作　　者：中国医师协会外科医师分会甲状腺外科专家工作组 中国研究型医院学会甲状腺疾病专业委员会 中国医疗保健国际交流促进会普通外科学分会 田文[2] 邬一军[3] 黄韬[4] 余济春[5] 钟江涛(绘图) Chinese Thyroid Association,Chinese Collage of Surgeons,Chinese Medical Doctor Association;Thyroid Disease Professional Committee of Chinese Research Association;General Surgery Branch of China International Exchange and Promotive Association For Medical And Health Care;Tian Wen;Wu Yijun(不详;Department of Thyroid(Hernia)Surgery,Department of General Surgery,the First Medical Center,Chinese PLA General Hospital,Beijing 100853,China;Department of Thyroid Surgery,the First Affiliated Hospital,School of Medicine,Zhejiang University,Hangzhou 310003,China)

机构地区：[1]不详 [2]解放军总医院第一医学中心普通外科医学部甲状腺(疝)外科,北京100853 [3]浙江大学医学院附属第一医院甲状腺外科,杭州310003 [4]华中科技大学同济医学院附属协和医院 [5]南昌大学第二附属医院 [6]浙江大学医学院附属第一医院

出　　处：《中华内分泌外科杂志（中英文）》2024年第2期149-155,共7页Chinese Journal of Endocrine Surgery

基　　金：国家重点研发计划(2022YFF0608403);浙江省自然科学基金资助项目(TGY24H160043)。

摘　　要：颈侧方切口胸锁乳突肌肌间入路甲状腺手术采用颈侧区皮纹切口,通过胸锁乳突肌胸骨头与锁骨头间的天然间隙进入甲状腺术区,直视下分离并保护喉返神经、喉上神经、甲状旁腺,清扫中央区淋巴结,在安全切除病灶的同时,尽可能地保护了颈前区功能,并具有较好的颈部外观,其临床效果在实践中得到了国内学者的广泛认可。为了更好地推动该术式的规范化实施,中国医师协会外科医师分会甲状腺外科专家组、中国研究型医院学会甲状腺疾病专业委员会和中国医疗保健国际交流促进会普通外科学分会结合最新相关文献和多个中心的临床经验,撰写此共识。Sternocleidomastoid intermuscular approach of thyroid surgery was performed through a cervical dermatoglyphic incision and the natural gap between sternal end and the clavicular end of sternocleidomastoid muscle.The recurrent laryngeal nerve,superior laryngeal nerve,and parathyroid gland could be separated and protected under direct vision.Lymph nodes in the affected central region could also be dissected completely.While safely removing the lesion,the function and appearance of the anterior neck area were protected as much as possible.Its clinical effect has been widely recognized by domestic scholars in practice.In order to promote the standardized development and application of sternocleidomastoid intermuscular approach surgery in China and benefit more patients,Chinese Thyroid Association,Chinese Collage of Surgeons,Chinese Medical Doctor Association,Thyroid Disease Professional Committee of Chinese Research Association,General Surgery Branch of China International Exchange and Promotive Association For Medical and Health Care together formulats this consensus combined with latest literature and multicenter clinical experience,to propose consensus recommendations for the surgery.

关 键 词：颈侧方切口 胸锁乳突肌肌间入路 颈前区功能 甲状腺切除术 甲状腺肿瘤 

分 类 号：R736.1[医药卫生—肿瘤]