摘要
目的:探讨几种不同手术方式在甲状腺切除术中的的应用及其相应的临床疗设。方法:选取我院120例具有手术指征且需择期行甲状腺切除术患者,随机分为超声刀开放手术组(Ⅰ组)、经腔镜手术组(Ⅱ组)、和常规开放手术组(Ⅲ组),各40例。比较3组手术方式的可行性、安全性及其临床疗效。结果:3组甲状腺切除术均获成功,Ⅰ组选择胸骨切迹上小切口,具有较好的美容效果、而Ⅱ组美容效果最好;Ⅰ组手术所需时间显著短于Ⅱ组和Ⅲ组;Ⅰ组、Ⅱ组的术中出血量和术后切口引流量均显著少于Ⅲ组;其中Ⅱ组有8例转为开放性切口完成手术,术后随访6个月,Ⅱ组和Ⅲ组均各有1例复发。3组均未发生术后大出血,喉上神经、喉返神经及甲状旁腺等周围组织损伤等并发症。Ⅰ组手术效果显著优于Ⅱ组和Ⅲ组。结论:超声刀小切口甲状腺开放手术改良了以往开放式和腔镜下甲状腺手术的不足,简单易行、创伤小、止血确切、出血少、手术野清晰,术后引流量少、并发症危险低、时间短,不影响患者美容效果。
Objective： To several different ways in the thyroid surgery for the application and the corresponding clinical curative effect.Methods：Select from 120 cases of surgical indications and need to do for patients wilh thyroid elective, randomly divided into ultrasound knife open scores （ group Ⅰ ）, the chamber lens （ group Ⅱ ）, and the conventional open scores （group Ⅲ ）. each 40 cases.All three groups the feasibility of the surgical procedure, safety and its clinical curative effect.Results：Three groups are successful, thyroid resection group I choose sternum position of small incision cut, and has a good hairdressing effect, and group Ⅱ hairdressing effect is the best; group Ⅰ operation needs time was significantly less than group Ⅱ and group Ⅲ ; Ⅰ group, group Ⅱ ofperi-operative bleeding and postoperative incision lead flow were significantly less than group Ⅲ ; group Ⅱ of eight cases to open surgery, postoperative incision completed 6 months of follow-up, group Ⅱ and the group Ⅲ each have 1 patients recurred.Three groups were not happen on the massive haemorrhage, laryngeal nerve, recurrent laryngeal nerve and parathyroid tissue damage such as complications such as around. Ⅰ group operation effect is significantly better than Ⅱ group and Ⅲ group.Conclusion：Ultrasound knife of small incision thyroid open surgery improved ever open and cavity under mirror thyroid surgery is insufficient, the operation is simple and operation in small trauma, hemostatic exact less bleeding, wild clear after surgery, led flow, less complications low risk, operation time is short, and no influence on cosmetic effect.
出处
《中国医药导刊》
2011年第10期1687-1688,共2页
Chinese Journal of Medicinal Guide
