| 剥离法在改良Miccoli术中的应用体会 |
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| 引用本文： | 李健,马骏.剥离法在改良Miccoli术中的应用体会[J].中国现代手术学杂志,2011,15(5):330-332. |
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| 作者姓名： | 李健 马骏 |
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| 作者单位： | 辽宁省抚顺市中心医院普外微创科,抚顺,113006 |
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| 摘 要： | 目的探讨剥离法在内镜辅助下经颈部小切口行甲状腺切除术（改良Miccoli术）中的应用价值。方法对39例甲状腺良性疾病患者采用剥离法内镜辅助下颈部小切口甲状腺切除术。按传统Miccoli术方式切开、建腔、显露,按剥离法要求游离、超声刀离断腺体,切除病灶。甲状腺瘤12例,其中11例行单侧甲状腺部分切除,1例行单纯峡部肿物切除;结节性甲状腺肿27例,其中13例行双侧甲状腺部分切除7,例行一侧腺叶大部切除加一侧肿瘤切除,5例双侧腺叶大部切除,2例单侧腺叶全切。结果 39例手术均顺利完成,手术切口平均2.4（1.5～3.0）cm,无中转开放手术;手术时间平均59.6（30～135）min;术中出血17.6（10～60）ml;术后第1 d引流量平均8（6～10）ml;术后住院时间平均4.2（3～6）d。术后术野皮下炎性肿胀3例,无喉返神经损伤或甲状旁腺功能低下等并发症。术后均获随访,平均10（6～12）个月,患者局部不适感轻微,颈部瘢痕不明显,美容效果好,复查甲状腺超声未见复发。结论在改良Miccoli术中采用剥离法手术策略简便、安全,并发症少,值得推广。
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| 关 键 词： | 甲状腺疾病 内窥镜检查 甲状腺切除术 |
The Application Experience of Dissection Method in Minimally Invasive Video-Assisted Thyroidectomy |
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| LI Jian,MA Jun.The Application Experience of Dissection Method in Minimally Invasive Video-Assisted Thyroidectomy[J].Chinese Journal of Modern Operative Surgery,2011,15(5):330-332. |
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| Authors: | LI Jian MA Jun |
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| Institution: | LI Jian,MA Jun(Minimally Invasive General Surgery Branch,Central Hospital of Fushun,Fushun 113006,Liaoning,China) |
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| Abstract: | Objective To investigate the application of the dissection method in minimally invasive video-assisted thyroidectomy(modified Miccoli surgery).Methods 39 patients with benign thyroid diseases were treated with minimally invasive video-assisted thyroidectomy by this dissection method.Among 12 subjects diagnosed as thyroid adenoma,11 underwent unilateral partial thyroidectmy and one only had mass in the isthmus of thyroid gland underwent the isthmus resection.Among 27 subjects with nodular thyroid goiter,13 p... |
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| Keywords: | thyroid diseases endoscopy thyroidectomy |
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