| 内镜在甲状腺切除术的临床应用 |
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| 引用本文： | 华沪玮,黄炯强,范慧光,胡明,雷建,黎绍基,胡启适,岑钧华,李树本,陈渭球,刘衍民.内镜在甲状腺切除术的临床应用[J].中国普通外科杂志,2003,12(5):363-365. |
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| 作者姓名： | 华沪玮 黄炯强 范慧光 胡明 雷建 黎绍基 胡启适 岑钧华 李树本 陈渭球 刘衍民 |
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| 作者单位： | 1. 广州医学院第一附属医院,普外科,广东,广州,510120
2. 广州医学院第一附属医院,微创外科,广东,广州,510120 |
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| 摘 要： | 目的 探讨应用内镜外科技术施行甲状腺手术的可行性及效果。方法 采用须部无瘢痕内镜甲状腺切除术(SET)和微创电视辅助甲状腺切除术(MIvA)。SET切口选择在乳晕上缘、胸骨旁，钝性游离胸前和颈前皮下腔隙，在内镜下行甲状腺肿瘤或腺体次全切除术。MIvA切口选择在胸骨切迹上1cm处长约3cm，在电视辅助下行甲状腺肿瘤或腺体次全切除术。结果 SETl0例和MIvAl2例全部手术成功，无并发症。术后恢复良好，无声嘶、呛咳，颈部水肿、隆起明显改善。结论 对甲状腺切除手术，SET具有明显的美容效果，MIVA是一种微创和有效方法。
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| 关 键 词： | 甲状腺切除术 甲状腺肿瘤／外科学 内窥镜术 |
| 文章编号： | 1005-6947(2003)05-0363-03 |
| 修稿时间： | 2002年8月28日 |
Clinical application of endoscopic thyroidectomy |
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| HUA Hu wei ,HUANG Jiong qiang ,FAN Hui guan ,HU Ming ,LEI Jian ,LI Shao ji ,HU Qi shi ,CEN Jun hua ,LI Shu ben ,CHEN Wei qiu ,LIU Yan min.Clinical application of endoscopic thyroidectomy[J].Chinese Journal of General Surgery,2003,12(5):363-365. |
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| Authors: | HUA Hu wei HUANG Jiong qiang FAN Hui guan HU Ming LEI Jian LI Shao ji HU Qi shi CEN Jun hua LI Shu ben CHEN Wei qiu LIU Yan min |
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| Institution: | HUA Hu wei 1,HUANG Jiong qiang 1,FAN Hui guan 1,HU Ming 1,LEI Jian 1,LI Shao ji 1,HU Qi shi 1,CEN Jun hua 1,LI Shu ben 1,CHEN Wei qiu 1,LIU Yan min 2 |
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| Abstract: | Objective To study the feasibility and effect of scarless endoscopic thyroidectomy(SET) and minimally invasive video-assisted surgery of the thyroid(MIVA) endoscopic technique. Methods SET: Incisions were made on the anterior part of the breast and mareolata,blunt dissection of the subcataneous planes of the neck and chest were administered .MIVA: Incisions were made 3cm above the thymus notch and the operation was video assisted in the thyroid adenoma extripation and subtotal thyroidectomy. The thyroid nodules were extirpated or subtotal thyroidectomy was performed. Results All 10 cases of the SET and 12 cases of the MIVA were successful performed and without complications. Conclusions For thyroid surgery,SET is a good cosmetic operation,MIVA is a minimal trauma and effective operation. |
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| Keywords: | THYROIDECTOMY THYROID NEOPLASMS/surg ENDUSCOPY |
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