摘要
目的:探讨腔镜下锁骨下入路甲状腺腺叶切除术的临床医用并总结手术经验。方法:对35例符合指征的患者行腔镜下锁骨下入路甲状腺腺叶切除术。应用自动拉钩建立术腔,吸引剥离器与超声刀联合使用分离并切除腺叶,术中以甲状腺下动脉为标志寻找喉返神经。结果:患者手术均获成功,无并发症发生。33例术中冷冻病检诊断为甲状腺肿,2例诊断为甲状腺乳头状癌。良性病变者术后无术区肿胀,皮肤麻木及其他不适,并对美容效果满意。结论:腔镜下锁骨下入路甲状腺腺叶切除术治疗甲状腺良性病变具有手术创伤小,安全性高,操作简便,美容效果好等优势,值得临床广泛应用。
Objective：To investigate the clinical applications of endoscopic thyroid lobectomy through subcla- vicular approach and to summarize the surgical experiences. Method .. Thirty-five cases were subjected to endoscopic thyroid lobectomy through subclavicular approach. Briefly, operative cavities were established by automatic retrac- tors and the affected lobes were dissected and removed using suction dissectors combined with the harmonic scal- pels. The inferior thyroid artery was used as the mark to locate the recurrent laryngeal nerve. Result.. All the opera- tions achieved successfulness with no complication. 33 out of 35 were intraoperatively diagnosed by fr0zen-patholo- gy as goiter and the last two cases were diagnosed as papillary thyroid carcinoma. There were no postoperative swelling, numbness or other kinds of uncomfortableness with benign patients and they were satisfied with the cos- metic outcomes. Conclusion： Endoscopic thyroid lobectomy through subclavicular approach for thyroid benign le- sions has the advantages of minimal invasion, high safety,easy manipulation and good cosmetic outcomes, which are worth of wide applications.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2013年第3期125-127,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
