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腔镜甲状腺切除术并发症的防治
引用本文:陈剑波,胡正坤,朱晓林.腔镜甲状腺切除术并发症的防治[J].宁夏医学杂志,2006,28(2):92-94.
作者姓名:陈剑波  胡正坤  朱晓林
作者单位:宁夏石嘴山市第二人民医院,宁夏,石嘴山,753000
基金项目:宁夏科技攻关项目2005
摘    要:目的探讨腔镜甲状腺切除术后并发症的防治经验。方法2004年10月-2005年5月对56例患者施行腔镜甲状腺切除术,总结本类手术术后并发症的危险因素及防治措施。结果56例患者成功施行腔镜甲状腺切除术,无中转开放手术。共出现9例并发症:脂肪液化1例,皮下气肿2例,皮肤淤斑1例,术后头痛2例,一过性声音低钝2例,一过性声音嘶哑1例。结论腔镜甲状腺切除术有其特殊并发症,通过精细的术中操作和适当的围手术期处理可以降低其发生率。

关 键 词:甲状腺切除术  腹腔镜  并发症
文章编号:1001-5949(2006)02-0092-03
收稿时间:2005-09-09
修稿时间:2005年9月9日

Prevention and treatment of postoperative complications in laparoscopic thyroidectomy
CHEN Jian-bo,HU Zheng-kun,ZHU Xiao-lin.Prevention and treatment of postoperative complications in laparoscopic thyroidectomy[J].Ningxia Medical Journal,2006,28(2):92-94.
Authors:CHEN Jian-bo  HU Zheng-kun  ZHU Xiao-lin
Institution:The Seeond Hosp. of Shizuishan, Ningxia 753000, China
Abstract:Objective To discuss the prevention and therapy of postoperative complications of laparoscopic thyroidectomy.Methods Based on experience of 56 cases of laparoscopic thyroidectomy from October 2004 to May 2005,the risk factors,occurrence,prevention and therapy of the postoperative complications were discussed.Results 0 cases were reversed to open surgery,while the laparoscopic thyroidectomy of all 56 cases were successfully finished.The following postoperative complications were found in 9 cases including fat colliquation in 1,pneumohypoderma in 2,skin silt patch in 1,postoperative headache in 2,temporary vocal dullness in 2 and hoarsness in 1.Conclusion Laparoscopic thyroidectomy can be accompanied by certain complications.Accurate operative skills and careful perioperative procedure can decrease the occurrence rate of the complications.
Keywords:Thyroidectomy  Laparoscopic  Complication
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