低衣领小切口甲状腺手术14例临床分析

目的：研究低衣领小切口甲状腺手术的技术要点与优势。方法：选取14例患者,采取患侧腺叶低衣领小切口切除或者双侧腺叶次全切除加峡部切除方式,对手术结果以及技术要点进行分析总结。结果：运用低衣领小切口甲状腺手术,能够清楚显示甲状腺上极,未出现术中术后出血与副损伤者,平均出血量为20ml,平均手术时间为53min,术后切口一期愈合,7d左右出院,切口较小。结论：低衣领小切口甲状腺手术方式可以缩小创伤面、缩短手术时间以及减少出血量,术中清楚显露提高安全性,术后恢复快,不影响美观。

Clinical analysis of low collar small incision thyroid surgery in 14 cases

Objective： To study the technical key points and advantages of low collar incision thyroid surgery. Methods： Fourteen cases of patients were selected, and low collar small incision resection of sicken side lobus or subtotalreseetion of bilateral lobus combined with isthmus of thyroid gland resection were adopted, surgical results and technical key points were analyzed. Results： Upward side of thyroid was showed clearly by the application of low collar small incision thyroid surgery, and there was no bleeding and side injury intraoperation and postoperative, the average bleeding volume was 20 ml, the average operation time was 53 min, incision was healing by first intention postoperative, all patients were discharged from hospital after 7 d, and incision was small. Conclusion： Low collar small incision thyroid surgery can reduce the traurna face, shortened operative time, reduce amount of bleeding, and intraoperation clearly expose can improve surgery safety, postoperative recover quickly and has no influence on appearance.