甲状腺再次手术中手术入路探讨

目的：探讨甲状腺再次手术的技术要点及其术后并发症的预防,重点讨论再次手术入路。方法：回顾性分析103例甲状腺再次手术患者的临床资料,其中因甲状腺恶性肿瘤而再次手术48例,因甲状腺良性疾病再次手术55例。结果：术后并发暂时性喉返神经损伤发生率为6.79%（7/103）,永久性喉返神经损伤发生率为1.94%（2/103）;暂时性甲状旁腺功能低下发生率为4.85%（5/103）,永久性甲状旁腺损伤发生率为0.97%（1/103）。结论：甲状腺再次手术难度大,其成功实施的关键在于术中操作技巧。

To Explore the Operative Approaches of Reoperation on Thyroid Gland

Objective: To explore the technical main points of reoperation with regard to thyroid gland and prevention of postoperative complications;especially to investigate operative approaches for second operation.Methods: Clinical data from 103 patients accepted reoperations on thyroid glands,including 48 cases of malignant tumors in thyroid glands and 55 of nonmalignant thyroid disease,was analyzed retrospectively.Results:The incidence rates of temporary and permanent recurrent laryngeal nerves injuries and hypoparathyroidism were 6.79 %(7/103),1.94 %(2/103),4.85 %(5/103) and 0.97 %(1/103),respectively.Conclusions: Reoperation on thyroid gland has more difficulty.The key point to achieve successful operation is operating skills.