| 胸乳途径甲状腺内镜手术 |
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| 引用本文： | 康杰,樊友本,伍波,郭伯敏,闫钧,张频,郑起. 胸乳途径甲状腺内镜手术[J]. 内分泌外科杂志, 2009, 3(4): 236-238. DOI: 10.3760/cma.j.issn.1674-6090.2009.04.006 |
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| 作者姓名： | 康杰 樊友本 伍波 郭伯敏 闫钧 张频 郑起 |
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| 作者单位： | 上海交通人学附属第六人民医院普外科,上海,200233 |
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| 摘 要： | 目的报道经胸乳入路腔镜甲状腺手术的临床应用价值。方法总结28例经胸乳途径腔镜甲状腺手术的临床资料。结果肿块直径1．7cm～4．5cm，平均2．9cm；手术时间平均128（95～165）min；病理结果：甲状腺腺瘤15例，结节性甲状腺肿12例，均行甲状腺腺叶全切和次全切除术，甲状腺乳头状癌1例中转。1例术后暂时性声音嘶哑，无术中术后大出血和术后抽搐。18例胸前区轻微胀痛不适持续7d-19d，均无需服用止痛药，美容满意率90％。结论胸乳途径甲状腺内镜手术疗效可靠、创伤不大、美容效果极佳。
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| 关 键 词： | 腔镜 甲状腺切除术 胸乳途径 |
Endoscopic thyroidectomy via breast areola approach |
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| KANG Jie,FAN You-ben,WU Bo,GUO Bo-min,YAN Jun,ZHANG Pin,ZHENG Qi. Endoscopic thyroidectomy via breast areola approach[J]. , 2009, 3(4): 236-238. DOI: 10.3760/cma.j.issn.1674-6090.2009.04.006 |
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| Authors: | KANG Jie FAN You-ben WU Bo GUO Bo-min YAN Jun ZHANG Pin ZHENG Qi |
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| Affiliation: | ( Department of General Surgery, Shanghai Jiaotong University Affiliated Sixth people＇s Hospital, Shanghai 200233, China) |
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| Abstract: | Objective To investigate the curative effect of endoscopic thyroidectomy via breast areola approach.Methods The clinical data of 28 cases of endoscopic thyroidectomy via breast areola approach were retrospectively summarized.Results The mean diameter ofthe tumor Was 2.9(1.7～4.2)cm.The mean operative time Was 128(95～165) min.Pathologic data:adenoma in 15 cases,nodular goitar in 12 csses,papillary carcinoma indicated intraoperatively by frozen section in 1 case.One case occurred temporary hoarseness.No intraoperative and postoperative hemorrhea and convulsion after operation.Minor pain and discomfort in anterior chest continued for 7～19d in 18 cases,all without taking painkillers,satisfaction rate of beauty was 90 percent.Condusions Endoscopic thyroidectomy via breast areola approach is safe and feasible for patients with thyroid diseases,and has excellent cosmetic results. |
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| Keywords: | Endoscope Thyroidectomy Breast areola approach |
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