摘要
目的探讨甲状腺手术技术改进的临床应用价值。方法对156例甲状腺患者,采用改进的手术体位、铺巾方法、手术入路及缝合方式进行手术治疗。行甲状腺腺瘤切除术12例,单侧甲状腺部分切除术60例,单侧甲状腺全切除术71例,双侧次全切除术10例,甲状腺癌改良根治术3例。结果156例患者于术后2d~6d出院,切口全部甲级愈合,患者均无并发症发生。结论合理选用甲状腺手术技术改进,可以减轻病人术中术后不适,缩短手术时间,减少出血,降低切口感染机会,减小颈部疤痕,缩短住院时间,取得了比较好的临床效果。
Objective To investigate the clinical value of technical improvement on thyroid gland operation. Methods 156 patients with thyroid diseases were operated with modified position of operation, sheet laying method, operative approach and suture methods. There were 12 cases for excision of thyroid adenoma, 60 cases for unilateral partial thyroidectomy, 71 cases for unilateral total thyroidectomy, 10 cases for bilateral subtotal thyroidectomy, and 3 cases for thyroid carcinoma modified radical operation. Results 156 patients discharged at 2d -6d after operations, and all incisional wounds were class - A healed. No complications happened for all patients. Conclusion Suitable technical improvement on thyroid gland operations may relieve discomforts during and after operation, shorten operation time, decrease bleeding, cut down the chance of infection of incisional wound, diminish cervical scar and shorten length of stay in hospital, thus reasonable clinical effects can be achieved.
关键词
甲状腺
手术方式
Thyroid Gland Operation Method Drain Placement