摘要
目的探讨超声刀在胸骨后甲状腺肿手术中的临床意义。方法回顾性分析2007年4月～2010年2月在笔者所在医院行手术治疗的21例胸骨后甲状腺肿患者的临床资料。结果 21例患者均在超声刀配合下经颈部切口切除胸骨后甲状腺肿,均痊愈出院,无一例死亡。并发喉返神经暂时性损伤及暂时性甲状旁腺功能低下者各1例,无术后出血、呼吸困难等严重并发症。结论应用超声刀行经颈部切口入路胸骨后甲状腺肿切除术,可以降低手术难度,减少术中出血量,术后并发症少,是安全、有效的手术方法。
Objective To study the significance of harmonic scalpel in substernal goiter surgery. Methods The clinical data of 21 patients with substernal goiter diseases underwent surgery from April 2007 to February 2010 were retrospectively reviewed. Results All cases were operated with harmonic scalpel through neck incision. All patients were recovery, one patient＇s recurrent laryngeal nerve was temporary injury, another patient＇s parathyroid gland was temporary injury. There were no serious complications such as postoperative hemorrhage, dyspnea and pneumothorax. Conclusion Use of harmonic scalpel in substernal goiter surgery from neck incision, can reduce the difficulty of operation, decrease blood loss and postoperative complications. It is safe and effective in substernal goiter surgery.
出处
《中国医药科学》
2011年第22期42-43,共2页
China Medicine And Pharmacy
关键词
超声刀
胸骨后甲状腺肿
并发症
Harmonic scalpel
Substernal goiter
Complication
