甲状腺良性肿瘤手术方法的改进

目的：探讨甲状腺良性肿瘤手术方式的改进.方法：回顾性总结近10年来收治668例甲状腺良性肿瘤手术方式的改进的情况,包括降低和缩小颈部切口,不横断甲状腺前肌群,经峡部行甲状腺手术,创面用纤维生物胶封闭采用引流及皮下缝合.结果：本组患者手术世间平均（30±25）min,术中出血平均（50±25）ml,术后住院日数平均（3±2）d.全组无手术死亡病例.术后喉反神经损伤4例（为单侧损伤）,表现轻度声音嘶,18例术后低钙肢端麻木,经补钙治疗1周后均缓解.结论：改进的甲状腺手术方式简化手术步骤缩短手术时间减少组织创伤,避免许多手术并发症的发生病人术后恢复快,伤口美观.

Thyroid gland benign tumor surgery method improvement

Objective：Discussion thyroid gland benign tumor surgery way improvement. Methods：Review summary in the recent 10 years admit 668 example thyroid gland benign tumor surgery way the improvement situation, including reduce and reduce the pate margin, do not traverse in front of the thyroid gland the myo- group, after the canyon department good thyroid gland surgery, the injured area use the drainage with the textile fiber biology rubber seal and hypodermic suture. Results： This group of patient surgery in society average （30±25） min, in the technique bleeds the average （50 ± 25）ml, after the technique is hospitalized Japan the number average （3 ± 2）d. Entire group non --surgery death case of illness. After the technique the throat counter--neurotrosis 4 examples （for single side damage）, the performance mild sound hissing sound,after 18 example techniques the low calcium extremity are numb,after makes up the calcium to treat 1 week to alleviate. Conclusion： The improvement thyroid gland surgery way simplification surgery step reduction surgery time decay organization wound, after avoids many surgery complications the occurrence patient technique restoring quickly, wound artistic.