摘要
目的探讨甲状腺再手术的技术要点及其术后并发症的预防，重点讨论再手术入路，喉返神经和甲状旁腺的保护。方法回顾性分析183例甲状腺再手术的临床资料，其中恶性肿瘤再手术68例，良性疾病再手术115例，探讨各种手术入路，并对术后并发症进行分析。结果暂时性甲状旁腺功能低下发生率为4．37％（8／183），永久性甲状旁腺损伤发生率为0．55％（1／183），暂时性喉返神经损伤发生率为4．92％（9／183），永久性喉返神经损伤发生率为1．64％（3／183），术后再出血发生率为0．55％（1／183）。结论甲状腺再手术难度大，其成功的关键在熟悉解剖、掌握术中操作技巧、小心谨慎及灵活机动。
Objective To discuss the operative technical details in reducing complications after thyroid diseases reoperation, especially how to choose operative method and preserve laryngeal recurrent nerve and parathyroid gland. Methods The study protocols of 183 patients undergoing reoperation for thyroid disease from Jan. 2000 to Mar. 2009 were reviewed. There were 115 cases of benign and 68 cases of malignant thyroid diseases to observe the postoperative complications. Results The rates of temporary and permanent laryngeal recurrent nerve injury were 4.92% （9/183） and 1.64% （3/183） , respectively. The rates of temporary and permanent hypocalcemia were 4.37% （8/183） and 0.55% （1/183）, respectively. The rate of postoperative internal hemorrhage was 0.55% （ 1/183 ）. Conclusions The thyroid reoperation was more difficult and can seduced a high rate surgical complication. The thyroid reoperation can be successfully performed if the operators could pay attention to the operative skill.
出处
《中华内分泌外科杂志》
CAS
2009年第6期393-395,共3页
Chinese Journal of Endocrine Surgery
