摘要
目的 总结精细化被膜解剖技术在甲状腺手术中的应用经验。方法 回顾性分析2018年1月至2022年7月在清华大学附属垂杨柳医院普通外科由同一手术团队应用精细化被膜解剖技术完成的89例甲状腺手术患者的临床资料,分析围术期喉返神经损伤、甲状旁腺损伤的发生情况。结果 89例患者均顺利完成手术。围术期发生喉返神经损伤3例(3.4%),均于3~5个月后恢复正常;未发生永久性喉返神经损伤。围术期发生甲状旁腺损伤7例(7.8%),其中1例出现低钙血症,4个月后恢复正常;未发生永久性甲状旁腺功能减退。结论 在甲状腺手术中应用精细化被膜解剖技术可快速显露并保护喉返神经和甲状旁腺,有效避免喉返神经和甲状旁腺损伤,提高手术安全性。
Objective To summarize the application experience of meticulous capsular dissection technique in thyroid surgery. Method Eighty-nine patients underwent thyroid surgery in Beijing Chuiyangliu Hospital from Jan 2018 to Jul 2022 by the same surgery group were retrospectively analyzed. The recurrent laryngeal nerve and parathyroid gland injury were analyzed in perioperative period. Result All of the 211 cases completed the operation successfully. 3 cases(3.4%) had suffered laryngeal nerve injury in perioperative period, and all recovered after 3-5 months. None of the patients had permanent recurrent laryngeal nerve injury. 7 cases(7.8%) had suffered parathyroid injury in perioperative period, and hypocalcemia occurred in 1 case, which recovered after 4 months. None of the patients had permanent hypoparathyroidism. Conclusion The meticulous capsule dissection technique can quickly expose and protect the recurrent laryngeal nerve and parathyroid gland in thyroid surgery, and effectively avoid the injury of recurrent laryngeal nerve and parathyroid gland, and improve the safety of surgery, which is worthy of clinical practice.
作者
吴永哲
李华志
许臣
佟凡
崔宏力
Wu Yongzhe;Li Huazhi;Xu Chen;Tong Fan;Cui Hongli(Department of General Surgery,Chuiyangliu Hospital Affiliated to Tsinghua University,Beijing 100022,China)
出处
《中国医刊》
CAS
2023年第2期163-166,共4页
Chinese Journal of Medicine
关键词
精细化被膜解剖技术
甲状腺手术
喉返神经
甲状旁腺
Meticulous capsular dissection
Thyroid surgery
Laryngeal recurrent nerve
Parathyroid gland
