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自上世纪80年代以来出现了小切口胆囊切除术,小切口阑尾切除术,凡是能引起大创伤的手术方式逐渐萎缩,故小切口总是受患者青睐。对我院2007年1月至2009年12月60例甲状腺病变手术治疗的切口方式进行回顾性总结,从住院费、住院天数、并发症等情况方面进行综合分析,现报告如下: 相似文献
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20 0 2年 3月至 2 0 0 3年 3月 ,我院对 30例甲状腺良性肿物患者施行内镜下甲状腺次全切术。现将护理体会报告如下。临床资料 :本组 30例均为女性 ,年龄 2 1~ 4 1岁。结节性甲状腺肿 15例 ,甲状腺腺瘤 10例 ,甲状腺亢进 5例。施行左半甲状腺切除 13例 ,右半甲状腺切除 10例 ,左半、峡部加右侧大部切除 7例。30例均顺利完成手术。经过精心护理 ,均痊愈出院。住院 5~ 8天 ,平均 6天。围手术期护理 :1术前护理 :做好心理护理 ,使患者以最佳的心态迎接手术。另外术前要详细询问病史 ,全面体检 ,做好各项检查 ,选择合适的手术时机。 2术中护理 … 相似文献
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腹腔镜辅助小切口甲状腺结节手术的临床应用 总被引:1,自引:0,他引:1
目的 探讨腹腔镜辅助小切口甲状腺手术的微创性、可操作性、实用价值和经验.方法 2006年1月至2008年8月,在黑龙江省医院普外科选择56例甲状腺结节患者,肿块最大5.0 cm×4.2 cm,最小3.5cm×2.0 cm,取胸骨切迹上1.0 cm处做小切口,长约1.5~2.0 cm,在腹腔镜辅助下用超声刀进行单侧甲状腺部分切除术20例,次全切除术25例,一侧甲状腺次全切除+对侧部分切除术1例,双侧甲状腺部分切除术10例.结果 56例手术均顺利完成,手术时间50~146 min,无并发症发生.病理结果除1例甲状腺癌外,均为良性病变.结论 对于大多数良性甲状腺疾病,腹腔镜辅助小切口甲状腺手术是一种创伤较小、有一定美容效果、相对容易掌握、易于推广且有效的手术治疗方法. 相似文献
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Objective To study the feasibility, superiority and experience of minimally invasive laparoscopic-assisted surgery of the thyroid using ultrosonic scalpel. Methods In a period from January, 2006-August, 2008, 56 patients of the department of general surgery, the hospital of Heilongjiang Province were diagnosed as thyroid node. The size of the nodes ranged from 5.0 cm×4.2 cm to 3.5 cm×2.0 cm in uhrosonography. An incision of about 1.5-2.0 cm was made 1.0 cm above the suprasternal notch and the operation was performed with ultrosonic scalpel assisted with laparoscope. Partial thyroideetomy of lateral thyroid was performed in 20 cases, subtotal thyroidectomy in 25 cases, subtotal thyroidectomy of unilateral thyroid and partial thyroidectomy of contralateral thyroid respectively in 1 case, partial thyroidectomy of bilateral thyroid in 10 cases. Results All 56 cases have undergone minimally invasive laparoscopic-assisted surgery successfully in 50-146 min and no complications occurred. Fifty five cases were confirmed to be benign lesion pathologically. Conclusion Laparoscopic-assisted surgery of the thyroid is an effective with a good cosmetic result. 相似文献
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Objective To study the feasibility, superiority and experience of minimally invasive laparoscopic-assisted surgery of the thyroid using ultrosonic scalpel. Methods In a period from January, 2006-August, 2008, 56 patients of the department of general surgery, the hospital of Heilongjiang Province were diagnosed as thyroid node. The size of the nodes ranged from 5.0 cm×4.2 cm to 3.5 cm×2.0 cm in uhrosonography. An incision of about 1.5-2.0 cm was made 1.0 cm above the suprasternal notch and the operation was performed with ultrosonic scalpel assisted with laparoscope. Partial thyroideetomy of lateral thyroid was performed in 20 cases, subtotal thyroidectomy in 25 cases, subtotal thyroidectomy of unilateral thyroid and partial thyroidectomy of contralateral thyroid respectively in 1 case, partial thyroidectomy of bilateral thyroid in 10 cases. Results All 56 cases have undergone minimally invasive laparoscopic-assisted surgery successfully in 50-146 min and no complications occurred. Fifty five cases were confirmed to be benign lesion pathologically. Conclusion Laparoscopic-assisted surgery of the thyroid is an effective with a good cosmetic result. 相似文献
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Objective To study the feasibility, superiority and experience of minimally invasive laparoscopic-assisted surgery of the thyroid using ultrosonic scalpel. Methods In a period from January, 2006-August, 2008, 56 patients of the department of general surgery, the hospital of Heilongjiang Province were diagnosed as thyroid node. The size of the nodes ranged from 5.0 cm×4.2 cm to 3.5 cm×2.0 cm in uhrosonography. An incision of about 1.5-2.0 cm was made 1.0 cm above the suprasternal notch and the operation was performed with ultrosonic scalpel assisted with laparoscope. Partial thyroideetomy of lateral thyroid was performed in 20 cases, subtotal thyroidectomy in 25 cases, subtotal thyroidectomy of unilateral thyroid and partial thyroidectomy of contralateral thyroid respectively in 1 case, partial thyroidectomy of bilateral thyroid in 10 cases. Results All 56 cases have undergone minimally invasive laparoscopic-assisted surgery successfully in 50-146 min and no complications occurred. Fifty five cases were confirmed to be benign lesion pathologically. Conclusion Laparoscopic-assisted surgery of the thyroid is an effective with a good cosmetic result. 相似文献
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Objective To study the feasibility, superiority and experience of minimally invasive laparoscopic-assisted surgery of the thyroid using ultrosonic scalpel. Methods In a period from January, 2006-August, 2008, 56 patients of the department of general surgery, the hospital of Heilongjiang Province were diagnosed as thyroid node. The size of the nodes ranged from 5.0 cm×4.2 cm to 3.5 cm×2.0 cm in uhrosonography. An incision of about 1.5-2.0 cm was made 1.0 cm above the suprasternal notch and the operation was performed with ultrosonic scalpel assisted with laparoscope. Partial thyroideetomy of lateral thyroid was performed in 20 cases, subtotal thyroidectomy in 25 cases, subtotal thyroidectomy of unilateral thyroid and partial thyroidectomy of contralateral thyroid respectively in 1 case, partial thyroidectomy of bilateral thyroid in 10 cases. Results All 56 cases have undergone minimally invasive laparoscopic-assisted surgery successfully in 50-146 min and no complications occurred. Fifty five cases were confirmed to be benign lesion pathologically. Conclusion Laparoscopic-assisted surgery of the thyroid is an effective with a good cosmetic result. 相似文献
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Objective To study the feasibility, superiority and experience of minimally invasive laparoscopic-assisted surgery of the thyroid using ultrosonic scalpel. Methods In a period from January, 2006-August, 2008, 56 patients of the department of general surgery, the hospital of Heilongjiang Province were diagnosed as thyroid node. The size of the nodes ranged from 5.0 cm×4.2 cm to 3.5 cm×2.0 cm in uhrosonography. An incision of about 1.5-2.0 cm was made 1.0 cm above the suprasternal notch and the operation was performed with ultrosonic scalpel assisted with laparoscope. Partial thyroideetomy of lateral thyroid was performed in 20 cases, subtotal thyroidectomy in 25 cases, subtotal thyroidectomy of unilateral thyroid and partial thyroidectomy of contralateral thyroid respectively in 1 case, partial thyroidectomy of bilateral thyroid in 10 cases. Results All 56 cases have undergone minimally invasive laparoscopic-assisted surgery successfully in 50-146 min and no complications occurred. Fifty five cases were confirmed to be benign lesion pathologically. Conclusion Laparoscopic-assisted surgery of the thyroid is an effective with a good cosmetic result. 相似文献
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Objective To study the feasibility, superiority and experience of minimally invasive laparoscopic-assisted surgery of the thyroid using ultrosonic scalpel. Methods In a period from January, 2006-August, 2008, 56 patients of the department of general surgery, the hospital of Heilongjiang Province were diagnosed as thyroid node. The size of the nodes ranged from 5.0 cm×4.2 cm to 3.5 cm×2.0 cm in uhrosonography. An incision of about 1.5-2.0 cm was made 1.0 cm above the suprasternal notch and the operation was performed with ultrosonic scalpel assisted with laparoscope. Partial thyroideetomy of lateral thyroid was performed in 20 cases, subtotal thyroidectomy in 25 cases, subtotal thyroidectomy of unilateral thyroid and partial thyroidectomy of contralateral thyroid respectively in 1 case, partial thyroidectomy of bilateral thyroid in 10 cases. Results All 56 cases have undergone minimally invasive laparoscopic-assisted surgery successfully in 50-146 min and no complications occurred. Fifty five cases were confirmed to be benign lesion pathologically. Conclusion Laparoscopic-assisted surgery of the thyroid is an effective with a good cosmetic result. 相似文献
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Objective To study the feasibility, superiority and experience of minimally invasive laparoscopic-assisted surgery of the thyroid using ultrosonic scalpel. Methods In a period from January, 2006-August, 2008, 56 patients of the department of general surgery, the hospital of Heilongjiang Province were diagnosed as thyroid node. The size of the nodes ranged from 5.0 cm×4.2 cm to 3.5 cm×2.0 cm in uhrosonography. An incision of about 1.5-2.0 cm was made 1.0 cm above the suprasternal notch and the operation was performed with ultrosonic scalpel assisted with laparoscope. Partial thyroideetomy of lateral thyroid was performed in 20 cases, subtotal thyroidectomy in 25 cases, subtotal thyroidectomy of unilateral thyroid and partial thyroidectomy of contralateral thyroid respectively in 1 case, partial thyroidectomy of bilateral thyroid in 10 cases. Results All 56 cases have undergone minimally invasive laparoscopic-assisted surgery successfully in 50-146 min and no complications occurred. Fifty five cases were confirmed to be benign lesion pathologically. Conclusion Laparoscopic-assisted surgery of the thyroid is an effective with a good cosmetic result. 相似文献
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Objective To study the feasibility, superiority and experience of minimally invasive laparoscopic-assisted surgery of the thyroid using ultrosonic scalpel. Methods In a period from January, 2006-August, 2008, 56 patients of the department of general surgery, the hospital of Heilongjiang Province were diagnosed as thyroid node. The size of the nodes ranged from 5.0 cm×4.2 cm to 3.5 cm×2.0 cm in uhrosonography. An incision of about 1.5-2.0 cm was made 1.0 cm above the suprasternal notch and the operation was performed with ultrosonic scalpel assisted with laparoscope. Partial thyroideetomy of lateral thyroid was performed in 20 cases, subtotal thyroidectomy in 25 cases, subtotal thyroidectomy of unilateral thyroid and partial thyroidectomy of contralateral thyroid respectively in 1 case, partial thyroidectomy of bilateral thyroid in 10 cases. Results All 56 cases have undergone minimally invasive laparoscopic-assisted surgery successfully in 50-146 min and no complications occurred. Fifty five cases were confirmed to be benign lesion pathologically. Conclusion Laparoscopic-assisted surgery of the thyroid is an effective with a good cosmetic result. 相似文献
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Objective To study the feasibility, superiority and experience of minimally invasive laparoscopic-assisted surgery of the thyroid using ultrosonic scalpel. Methods In a period from January, 2006-August, 2008, 56 patients of the department of general surgery, the hospital of Heilongjiang Province were diagnosed as thyroid node. The size of the nodes ranged from 5.0 cm×4.2 cm to 3.5 cm×2.0 cm in uhrosonography. An incision of about 1.5-2.0 cm was made 1.0 cm above the suprasternal notch and the operation was performed with ultrosonic scalpel assisted with laparoscope. Partial thyroideetomy of lateral thyroid was performed in 20 cases, subtotal thyroidectomy in 25 cases, subtotal thyroidectomy of unilateral thyroid and partial thyroidectomy of contralateral thyroid respectively in 1 case, partial thyroidectomy of bilateral thyroid in 10 cases. Results All 56 cases have undergone minimally invasive laparoscopic-assisted surgery successfully in 50-146 min and no complications occurred. Fifty five cases were confirmed to be benign lesion pathologically. Conclusion Laparoscopic-assisted surgery of the thyroid is an effective with a good cosmetic result. 相似文献
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Objective To study the feasibility, superiority and experience of minimally invasive laparoscopic-assisted surgery of the thyroid using ultrosonic scalpel. Methods In a period from January, 2006-August, 2008, 56 patients of the department of general surgery, the hospital of Heilongjiang Province were diagnosed as thyroid node. The size of the nodes ranged from 5.0 cm×4.2 cm to 3.5 cm×2.0 cm in uhrosonography. An incision of about 1.5-2.0 cm was made 1.0 cm above the suprasternal notch and the operation was performed with ultrosonic scalpel assisted with laparoscope. Partial thyroideetomy of lateral thyroid was performed in 20 cases, subtotal thyroidectomy in 25 cases, subtotal thyroidectomy of unilateral thyroid and partial thyroidectomy of contralateral thyroid respectively in 1 case, partial thyroidectomy of bilateral thyroid in 10 cases. Results All 56 cases have undergone minimally invasive laparoscopic-assisted surgery successfully in 50-146 min and no complications occurred. Fifty five cases were confirmed to be benign lesion pathologically. Conclusion Laparoscopic-assisted surgery of the thyroid is an effective with a good cosmetic result. 相似文献
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目的:低位小切口切除术治疗甲状腺瘤的疗效及与传统手术的对比研究。方法:以80例甲状腺瘤患者作为研究对象,按照随机数字表法均分2组,对照组40例患者按照传统手术方法治疗,研究组40例患者行低位小切口切除术治疗,比较两组患者术中、术后情况。结果:1两组手术时间差异无统计学意义(P>0.05),研究组术中出血量、手术切口长度、住院时间均显著优于对照组(P<0.01);2研究组切口黏连、颈前区疼痛、颈部麻木、皮下结节等并发症发生率均显著低于对照组(P<0.05)。结论:低位小切口切除术治疗甲状腺瘤具有创伤小、恢复快等临床优势,优于传统手术,值得临床推广使用。 相似文献
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运用传统术式进行甲状腺切除手术会在患者颈部留下一个明显的横形疤痕,给部分患者带来心理压力。随着腹腔镜技术的进步与发展,以及人们对体表美的追求,腹腔镜下甲状腺切除术在近年已发展为微创外科新技术,具有创伤小、疼痛轻、恢复快、手术切口小的优点,术后不留任何手术疤痕,具有美容效果。我院普通外科行腹腔镜甲状腺手术43例,现将手术前后的护理体会报道如下。 相似文献
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2003年3月~2006年3月,我科对120例患者行鼻内镜下鼻窦开放术,现将围手术期的护理体会报告如下。 相似文献
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经胸骨下段正中小切口行心脏瓣膜手术 总被引:4,自引:0,他引:4
目的:探讨经胸骨下段正中小切口行各种心脏瓣膜手术的适应证和手术方法。 方法:30例患者平均年龄42.2±10.1(17~58)岁。皮切口自第3胸肋关节水平至剑突根部,平均长度11(9~13)cm,自下而上纵行劈开胸骨至第2肋间处向右侧横断。手术于常规体外循环下进行,包括二尖瓣置换19例,主动脉瓣置换3例,主动脉瓣及二尖瓣双瓣置换6例,二尖瓣Carpentier环成形2例。7例同时行三尖瓣DeVega环缩术。4例同时行左心房血栓清除。 结果:无手术死亡及并发症。平均主动脉阻断、体外循环和手术时间分别为54.5±24.9分、79.2±28.7分和160.9±44.3分,术后呼吸机辅助10.7±4.2小时,住院时间 14.4±4.9天。术后胸液量282±125(50~630)ml,有16例患者(53.3%)未输血。 结论:经胸骨下段正中小切口行心脏瓣膜手术安全可靠,美观,创伤小,出血少,保留了胸廓的连续性,早期结果满意。 相似文献