摘要
目的探讨腔镜下甲状腺切除术的临床效果。方法采用经胸部乳晕入路行腔镜甲状腺肿瘤切除术31例,其中甲状腺腺瘤9例,结节性甲状腺肿21例,甲状腺癌1例。结果成功完成手术29例,其中单侧甲状腺肿瘤切除术5例、甲状腺腺叶大部切除术24例。中转开放手术2例。手术时间90～160分钟,平均110.5分钟,无喉返神经及甲状旁腺损伤,出现皮肤淤斑1例,术后住院时间5～7天,平均6.1天,患者对手术的美容效果满意。结论腔镜甲状腺手术是一种安全的手术方法,具有很好的美容效果。
Objective To investigate the clinical efficacy on endoscopic thyroidectomy.Methods Endoscopic thyroid tumor resection via areola of mamma was performed in 31 cases.Among them,thyroid adenoma,nodular goiter and thyroid cancer were in 9、21、1-case respectively.Results The operations of 29 cases were performed successfully,including unilateral thyroid tumor resection in 5 cases,subtotal thyroidectomy in 24 cases and transferred to open surgery in2 cases.The operative time ranged from 90 to 160 minutes（average 110.5 minutes）.No superior laryngeal nerve,recurrent laryngeal nerve and parathyroid were injured.Only one case occurred skin ecchymosis.Postoperative hospitalization was in5 to 7 days（average 6.1 days）.The operative cosmetic results was satisfactory.Conclusion Endoscopic thyroid procedures are a safe and ideal operative method.It possesses a good cosmetic result.
出处
《岭南现代临床外科》
2011年第1期36-37,共2页
Lingnan Modern Clinics in Surgery
