摘要
目的:探讨内镜辅助甲状腺手术中的喉返神经与甲状旁腺的辨别及防护。方法:回顾性分析行颈前小切口内镜辅助甲状腺手术32例患者的临床资料,其中甲状腺腺瘤15例,结节性甲状腺肿17例。单侧次全切+峡部切除术22例,双侧叶结节腺瘤对瘤体较大一侧腺体行次全切+峡部切除+对侧腺瘤摘除术10例;术中均对喉返神经及甲状旁腺进行精确辨别及有效保护。结果:术后无甲状腺功能减退、声嘶等并发症,颈部瘢痕美容效果好。结论:腔镜甲状腺手术通过腔镜放大手术视野,结合超声刀和熟练解剖可对甲状旁腺及喉返神经精确辨别,对甲状旁腺及喉返神经行精细解剖可避免术后并发症的发生。
Objective： To explore the dissection and protection of recurrent laryngeal nerve and parathyroid glands in endoscopy assisted thyroidectorny. Method： A retrospectively analysis was conducted on 32 patients who have undergone endoscopy assisted thyroidectorny. Postoperative pathology confirmed that 15 cases was thyroid adenoma and 17 cases nodular goiter. Twenty-two eases received subtotal thyroidectorny and isthrnusectomy,and the other 10 cases unilateral subtotal thyroidectorny,isthrnusectorny and contralateral adenoma resection. Laryngeal recurrent nerve and parathyroid gland were aceurately identified and effectively protected during the operation. Result：There were no postoperative complications such as hypothyroidism and hoaroseness , and this surgical procedure have good cosmetic results. Conclusion：With the help of amplification of endoscopy , ultrasonic knife and proficient dissection, endoscopy assisted thyroidectorny could aecurately discern recurrent laryngeal nerve and parathyroid glands without postoperative complications.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2014年第12期865-867,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
腔镜
超声刀
甲状腺切除术
甲状旁腺
喉返神经
endoscope
ultrasound knife
thyroidectomy
parathyroid glands
recurrent laryngeal nerve
