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47例甲状腺手术方法改进以减轻切口疤痕的临床体会 被引量:4

Clinical Experience of 47 Improred Thyroid Gland Surgery to Reduce Inclsion Scar
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摘要 目的:探讨对甲状腺手术方法的改进,能否达到术中术野显露充分、手术安全、手术时间短、术后切口低小及美学效果好的效果。方法:对47例甲状腺手术,注重微创观念,与常规手术方法作三点改进,一是切口的精确设计,二是缝合技术的改进,三是引流的放置。结果:47例均治愈,无1例发生喉返神经、甲状旁腺损伤及术后出血,随访4~12个月,无1例复发,无1例疤痕高于皮面,且47例疤痕颜色呈肤色,视觉效果良好。于术后第3~6天痊愈出院,住院时间5~7天。结论:甲状腺的改良切除手术,具有手术创伤减少、手术时间缩短、切口疤痕粘连发生率明显降低等优点,值得临床推广。 Objective:To investigate the improvement of surgical techniques on the thyroid,the possibility of surgery in the operative field revealing the full,surgical safety,shorter operative time,postoperative incision and aesthetic effect of a low small-good results.Methods:47 cases of thyroid surgery,focusing on minimally invasive concepts,and conventional surgical method for the three improved,one notch of the precise design,and second,improved suture techniques and the third is the placement of drainage.Results:47 cases were cured,no one cases of occurrence of recurrent laryngeal nerve,parathyroid injury and postoperative bleeding were followed up for 4 months to 12 months,no one cases of recurrence,no scars more than one cases of leather,and 47 cases of scar color was color,visual effects,good.in surgery 3~6 days after discharged,Length of stay 5~9 days.Conclusion:With improved thyroid resection,and less surgical trauma,surgical time,incision scar significantly reduced the incidence of adhesions,etc,which is worthy to be popularized.
作者 顾蓓
出处 《安徽卫生职业技术学院学报》 2009年第6期37-38,共2页 Journal of Anhui Health Vocational & Technical College
关键词 甲状腺手术 切口疤痕 thyroid surgery incision scar
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