经前胸壁路径内镜下甲状腺手术31例分析

目的 探讨内镜下甲状腺手术的方法,总结临床应用经验.方法 选择2008年8月～2009年6月新疆医科大学附属中医医院普外科完成经前胸壁路径内镜下甲状腺手术患者31例,其中甲状腺腺瘤26例,结节性甲状腺肿4例,1例甲状腺乳头状癌患者改开放手术行甲状腺患侧全部切除,对侧大部切除.结果 31例手术全部成功,30例良性病变患者的手术时间为(116±17)min,术中出血量为(85±6)ml,伤口引流量(术后总量)为(105±35)ml,术后住院时间为(4.0±0.8)d.全部病例均未发生切口感染、术中术后大出血、喉返神经损伤、喉上神经损伤和甲状腺功能低下等并发症.结论 内镜甲状腺手术是安全可靠的,具有很好的美容效果.采用前胸壁路径及合适长度的皮下隧道,极大的简化了手术操作,值得推广.

Endoscopic thyroid operation via the anterior chest wall approach:a clinical report of 31 cases

Objective To explore the method of endoscopic thyroid operation and to summarize the clinical experience. Methods Thirty-one patients were underwent endoscopic thyroid operation via the anterior chest wall approach between August 2008 and June 2009 at our department. Of 31 cases,26 cases suffered from thyroid adenoma,4 cases suffered from nodular goiter,and one case of thyroid papillary cancer in patients with open operation to all affected lines of thyroid resection,contralateral subtotal. Results The oper...