不离断颈前肌群的小切口甲状腺次全切除术36例体会

目的:探讨不离断颈前肌群对甲状腺次全切除手术操作的影响,不放置引流物对甲状腺次全切除术后的影响。方法:回顾性分析本院近2年来选择对36例甲状腺腺瘤等患者采用不离断颈前肌群,次全切除腺体后创面应用生物蛋白胶并不放置引流物的治疗效果。结果:36例患者均获痊愈,手术时间均未超过1小时45分钟,仅1例因术中牵拉过度,术后出现暂时性声嘶,3个月余后恢复,术后平均住院时间为6.5d。结论:大部分甲状腺次全切除手术可以不离断颈前肌群,医用生物蛋白胶在甲状腺次全切除术中应用具有明显止血、止渗出的作用,可不放置引流物,能减少因引流物引起的并发症。

The Experience on 36 Cases Bilateral Subtotal Thyroidectomy without Severing the Jugular Anterior Fascicles

Objective: To evaluate the effect of bilateral subtotal thyroidectomy,the biomedical fibrin glue replaced the rubber band in the incision on the condition of not severing the jugular anterior fascicles.Method: There were 36 cases of struma nodosa,Not to sever their jugular anterior fascicles and embed the biomedical fibrin glue not rubber band into the incision after bilateral subtotal thyroidectomy,then observing the effect of operation.Result: 36 cases were fully cured,Only one had taken place rustiness and come back in 3 months,the operation cost not more than one hour and 45 minutes,it averagely cost them 6.5 days in the hospital.Conclusion: Most cases of bilateral subtotal thyroidectomy needn't sever the jugular anterior fascicles;Embeding the biomedical fibrin glue had obvious effect of hemostasia,reinning in effusion and reducing syndrom;the biomedical fibrin glue can replace the rubber band.