摘要
目的探讨锁骨上斜切口行单侧甲状腺手术的可行性及效果。方法回顾性分析2009年9月—2010年7月施行单侧甲状腺手术233例的临床资料。锁骨上斜切口手术组113例,传统手术组120例,将两组术前、术中、术后资料进行对比分析。结果锁骨上斜切口手术组在切口平均长度(4.98±0.70)cm、手术平均时间(68.5±15.2)min,平均失血量(15.2±8.9)mL,平均引流量(23.7±8.6)mL明显少于传统切口手术组[切口平均长度(6.03±0.82)cm,手术平均时间(79.5±20.0)min,平均失血量(18.5±12.7)mL,平均引流量(28.5±10.9)mL],差异均具有统计学意义(P(0.01)。结论锁骨上斜切口行单侧甲状腺手术能够缩短手术切口长度及手术时间,减少术中出血量,术后引流量,隐蔽性好,比较美观,具有较好的美体效果。
Objective To explore the feasibility and efficacy of supraclavicular oblique incision approach for unilateral thyroidectomy.Methods The clinical data of 233 patients undergoing unilateral thyroidectomy from September 2009 to July 2010 at our department were analyzed retrospectively.The operation was performed by a supraclavicular oblique incision in 113 patients and by a conventional transverse incision in 120 patients.The preoperative,intraoperative and postoperative data of the two groups were compared and analyzed.Results The average length of incision,operation time,blood loss and postoperative drainage volume of supraclavicular oblique incision group was（4.98±0.70） cm,（68.5±15.2） min,（15.2±8.9） mL,（23.7±8.6） mL,respectively,which was significantly less than that of conventional incision group which was（6.03±0.82） cm,（79.5±20.0） min,（18.5±12.7） mL and（28.5±10.9） mL,respectively（P﹤0.01）.Conclusions Compared with conventional approach,supraclavicular oblique incision for unilateral thyroidectomy has the advantages of shorter incision length and operation time,and less blood loss and postoperative drainage volume.It has better concealing effect and cosmetic result.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2011年第5期519-522,共4页
China Journal of General Surgery
关键词
甲状腺切除术/方法
锁骨上斜切口
传统切口
美容效果
Thyroidectomy/methods
Supraclavicular Oblique Incision
Conventional Incision
Cosmetic Result
