摘要
对原发甲亢甲状腺次全切除技术进行了改进。胸锁关节上方０．８～１ｃｍ处横切口长约８ｃｍ，条带状切除切口处的皮下脂肪和颈阔肌，近胸锁关节处锐性切断带状肌，将带状肌呈帘状向上翻起显露甲状腺，甲状腺两叶次全并峡部整体切除，引流管经一侧带状肌与胸锁乳突肌前缘之间和该侧皮肤切口端外下方的戳孔拉出。经７６例手术证实，该方法平均手术时间１００ｍｉｎ，９５％以上病例不需输血。切口位置低，缝针少，术后３～４ｄ折线，术后恢复快，患者颈部活动如常。引流技术的改进避免了常规引流的弊端。结果提示：新方法明显优于旧方法。
The article mainly explains how to improve the subtotal thyroidectomy of primary hyperthyroidism.The process is as follows:cross cut the skin about 8 cm long 0.8～1cm up the sternojoint,stripedly cut off the subcutaneous fat and the platysma at the edge of the cross incision,sharply cut off the musculi infrahyoidei near the sternojoint,curtainformly turn up the musculi infrahyoidei to expose the thyroid,subtotally cut off the thyroid lobes and totally cut off the isthmus of the thyroid gland and finaly pull out the drainage tube between musculi infrahyoidei on one side and the front edge of the sternocleidomastoideus through the pole in the lower outer end of the skin incision on the same side. It has been confirmed by 76 cases that in this method, short operating time will be needed.The average operating time lasts only 100 minutes and there is a sharp decrease of the bleeding flow. More than 95 percent of the cases need no transfusion.The incision position is lower and the sutures are fewer.The stitches can be taken out in 3-4 days after the operation,What's more,the patient has a quick recovery and his neck can turn around as he likes.The improvement of the drainage avoids the defects of the normal drainage.
出处
《河南医科大学学报》
1996年第1期106-108,共3页
Journal of Henan Medical University
