颈部小切口行甲状腺叶切除术的临床观察 (pdf)

    【摘要】 目的 探讨采用颈部小切口行甲状腺叶切除术的临床经验和手术注意事项。 方法 在颈前部做一个微小切口，并且在超声刀辅助下行甲状腺叶切除术。 结果 本组共完成38例手术，切口长2～4cm，手术时间35～120min(平均45min)，术中出血量极少。所有患者均无声音嘶哑、继发性出血或血肿等并发症，切口一期愈合，无不良反应。于术后第3～6天痊愈出院，住院时间5～9天。 结论 采用小切口行微创甲状腺叶切除术具有切口小、出血少等优点，值得在临床上推广。

    【关键词】 甲状腺叶切除术；微创；小切口；超声刀

    The clinic of partial thyroidectomy with small incision on the neck

    TENG Hong-fei，GE Hai-yan，HAO Zhen-hong，et al. Department of General Surgery,The Affiliated Tenth People’s Hospital of Tongji University,Shanghai 200072,China

    【Abstract】 Objective In order to explore the clinical experience and attention of thyroidectomy with small incision. Methods After a small incision on the neck， thyroidectomy was performed under the assistance of ultrasonic scalpel. Results Thirty-eight patients were performed thyroidectomy with small incisions on the neck. The incisions were 2～4cm in length. The operations took 35～120min (mean 45min). There were very few bleeding during operations. No postoperative hoarse voice ......