摘要
目的探讨采用中间入路在甲状腺全切除术中的价值。方法回顾性分析2009年1月至2012年12月我院收治的甲状腺全切除术病例的临床资料，分为两组，采用中间入路甲状腺全切除术134例为A组，传统甲状腺全切除术187例为B组，对比两组在手术时间、术中失血及术后甲状旁腺功能低下、喉返神经损伤发生率的差异。结果A组手术时间较B组缩短[（65．4±8．7）min与（90．1±11．3）min；t=22．195，P〈0．01），失血量A组较B组减少[（20．5±5．7）ml与（50．8±11．4）ml；t=31．294，P〈0．01]。A组术后发生暂时性甲状旁腺功能低下（0．74％与5．88％）及暂时性喉返神经损伤的比率（10．44％与24．59％）与B组比较差异均有统计学意义（x。值分别为5．72、10．28，P均〈0．05），两组均未发生永久性甲状旁腺功能低下和喉返神经永久性损伤的病例。结论采用中间入路甲状腺全切除术是安全可行的，比传统甲状腺全切除术更有优势。
Objective To investigate the value of intermediated cutting approach in the total thyroideetomy. Methods The clinical data of patients with total thyroidectomy from January 2009 to December 2011 were analyzed retrospectively. Patients in group A （n = 134） were underwent thyroidectomy through intermediate approach, whereas patients in Group B （n = 187 ） were underwent traditional total thyroidectomy. The analysis index included operation periods, operative bleeding amount, the incidence of hypoealeemia and rate of laryngeal nerve injure. Results The operation periods in Group A was shorter than that in group B（ （65.4 ±8.7） second vs. （ 90. 1 ± 11.3） min,t =22. 195,P 〈0.01）. The amount of operative bleeding in group A was,less than that in group B （ （ 20. 5 ± 5.7 ） ml vs. （ 50. 8 ±11.4 ） ml, t = 31. 294, P 〈 0. 01 ）. The incidence rates of temporary recurrent laryngeal nerve injure and the temporary hypocalcemia rate in group A and group B were （0.74% vs. 5.88%, 10.44% vs. 24.59% respectively, X2 = 5.72, 10.28 respeetively,P 〈 0.05）. No permanent hypoparathyroidism or permanent recurrent laryngeal nerve injure case occurred in both groups. Conclusion Intermediate cutting approach was an effective and safe method in terms of total thyroidectomy.
出处
《中国综合临床》
2013年第10期1081-1084,共4页
Clinical Medicine of China
关键词
甲状腺全切除术
中间人路
喉返神经损伤
甲状旁腺功能低下
Total thyroidectomy
Intermediate approach
Recurrent laryngeal nerve injure
Hypoparathyroidism
