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完全囊外甲状腺切除术的术式探讨
引用本文:王澂,刘东峰,张建勋,田兴,张春儒.完全囊外甲状腺切除术的术式探讨[J].中华普通外科杂志,2004,19(4):211-213.
作者姓名:王澂  刘东峰  张建勋  田兴  张春儒
作者单位:1. 110042,沈阳,辽宁省肿瘤医院外科
2. 盘锦市妇婴医院外科
3. 盘锦市双兴骨科医院
摘    要:目的探讨完全囊外甲状腺切除的手术技巧。方法回顾性分析 10 4例完全囊外甲状腺切除术的结果。结果 从 1990年 5月至 2 0 0 0年 5月 10年间以完全囊外的入路行甲状腺次全或全切除 10 4例 ,患者无术后危象、术后出血致呼吸道梗阻、永久性甲状旁腺低功等严重并发症 ,仅1例出现暂时性喉返神经麻痹。结论完全囊外甲状腺切除术出血少 ,并发症少 ,安全 ,效果好 ,是理想的手术入路。

关 键 词:甲状腺疾病  喉返神经  完全囊外甲状腺切除术
修稿时间:2003年7月10日

Total extracapsular thyroidectomy:a report of 104 cases
WANG Cheng,LIU Dong-feng,ZHANG Jian-xun,TIAN Xing,ZHANG Chun-ru.Total extracapsular thyroidectomy:a report of 104 cases[J].Chinese Journal of General Surgery,2004,19(4):211-213.
Authors:WANG Cheng  LIU Dong-feng  ZHANG Jian-xun  TIAN Xing  ZHANG Chun-ru
Institution:WANG Cheng*,LIU Dong-feng,ZHANG Jian-xun,TIAN Xing,ZHANG Chun-ru. *Department of Surgery,Liaoning Provincial Tumor Hospital,Shenyang 110042,China
Abstract:Objective To introduce a new extracapsular approach for thyroidectomy in patients with surgical thyroid disease. Method Clinical data of 104 cases undergoing this procedure were retrospectively analyzed. Results From May 1990 to May 2000, 104 patients underwent either total or subtotal thyroidectomy by extracapsular approach. One patient suffered from postoperative temporary recurrent laryngeal nerve palsy. No morbidity such as postoperative thyroid crisis, hemorrhage leading to airway compression, permanent hypoparathyroidism nor mortality developed. Conclusion The total extracapsular approach for thyroidectomy is safe, less of complication and effective.
Keywords:Thyroid disease  Recurrent laryngeal nerve  Total extracapsular thyroidectomy
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