摘要
目的减少甲状腺次全切除术的并发症。方法术中按顺序结扎甲状腺中静脉和上动静脉,不结扎甲状腺下动脉主干,甲状腺组织在固有膜内切除,保留甲状腺约患者拇指末节大小。结果 100例甲亢受术者术中出血每例约(100±50)mL、手术用时(90±20)min/例、术后出血约(50±20)mL/例,无喉返神经损伤。术后甲状腺功能减退1例,暂时性手足抽搐1例,甲亢危象1例,术后复发0例。结论保留甲状腺下动脉主干的血管处理方法,配合固有膜内腺组织切除,减少了出血和损伤的几率,保留的甲状腺组织和甲状旁腺血运充分,并发症少。
Objective To reduce the complications in the subtotal thyroidectomy. Methods In the operation, orderly ligature middle veins and superior artery and vein of the thyroid, do not ligature the inferior thyroid artery, the thyroid tissue was removed in the lamina propria, retention of the thyroid tissue about patients of distal thumb size. Results In 100 cases, each case the amount of bleeding in 100 ±50 mL. Operation time of case was 90 ±20 min. After the operation the hemorrhage about 50±20 mL, No superior laryngeal nerve and the recurrent laryngeal nerve injury.1 cases of recurrent transient tetany, hyperthyroidism crisis occurred in 1 case, 1 cases of hypothyroidism, and no recurrence cases. Conclusion Keep the thyroid artery vascular treatment method and lamina propria inside gland tissue resection, reduce the risk of bleeding and damage, keep thyroid organization and parathyroid gland blood supply sufficient, fewer complications.
出处
《中国现代医生》
2013年第10期90-91,共2页
China Modern Doctor
关键词
甲状腺次全切除术
血管处理
腺体切除
Subtotal thyroidectomy
Endovascular therapy
Gland resection
