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腔镜甲状腺手术的临床应用
引用本文:黄大伟,侯延君,宋传健,王春红,王知非.腔镜甲状腺手术的临床应用[J].腹腔镜外科杂志,2004,9(1):1-2.
作者姓名:黄大伟  侯延君  宋传健  王春红  王知非
作者单位:武警黑龙江省总队医院,黑龙江,哈尔滨,150076;武警黑龙江省总队医院,黑龙江,哈尔滨,150076;武警黑龙江省总队医院,黑龙江,哈尔滨,150076;武警黑龙江省总队医院,黑龙江,哈尔滨,150076;武警黑龙江省总队医院,黑龙江,哈尔滨,150076
摘    要:目的 :总结腔镜用于甲状腺肿瘤手术的临床经验。方法 :应用超声刀对甲状腺良性肿物 4例行切除术。结果 :4例手术均获成功。手术时间 1 2 0~ 2 0 0min ,平均 1 6 0min ,术中出血 30~ 6 0ml,术后 6~ 8h下床活动 ,进流质 ,无不适感及其它并发症。术后 2d内拔除引流管 ,术后 3~ 5d出院。结论 :腔镜甲状腺手术符合女性美容的要求 ,手术切口隐蔽 ,无颈部疤痕 ,美容效果好 ,并且手术安全可行。

关 键 词:甲状腺肿瘤  内窥镜  超声刀
文章编号:1009-6612(2004)01-0001-02
修稿时间:2003年9月27日

Clinical application of endoscopic thyroidectomy
HUANG Da wei,HOU Yan jun,SONG Chuan jian,et al.Clinical application of endoscopic thyroidectomy[J].Journal of Laparoscopic Surgery,2004,9(1):1-2.
Authors:HUANG Da wei  HOU Yan jun  SONG Chuan jian  
Abstract:Objective:To summarize the experience of clinical application of endoscopic thyroidectomy.Methods:4 cases with benign neoplasm in thyroid were operated using ultrasonic scalpel.Results:All of the 4 cases were successfully performed,time of the operation was 120 200min,with average of 160min,blood loss during the operation was about 30 60ml.Patients could leave the bed and had fluid food 6 8 hours after the operation and didn't feel anything uncomfortable.Complications didn't occur.The drainage ducts were all removed 2 3 days after operation,patients completely recovered and left the hospital 3 5 days later.Conclusions:Application of video assisted endoscopic thyroidectomy(VAET) has many advantages:it can meet women patients' the psycological requirement of better cosmetic effects,incision can be well hidden,no scars in the neck and it can be carried out safely.
Keywords:Thyroid neoplasm  Endoscopy  Ultrasonic scalpel
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