摘要
目的观察经胸乳晕径路腔镜甲状腺切除术的安全性和可行性。方法回顾性分析我院2004年4月～2011年5月收治的61例甲状腺疾病患者的临床资料,均行经胸乳晕径路甲状腺切除术。结果 61例手术都获得成功,其中有6例因为术中提示为甲状腺乳头状癌,遂中转为传统开放的甲状腺癌根治术。平均的手术时间为93min,术中的平均出血量为48.7ml,术后平均2～3天拔除引流管,术后平均住院天数为4.8天。术后无皮下气肿及皮下积液。术后仅有4例出现暂时性的声音嘶哑,随访3个月时恢复正常。结论经胸乳晕径路腔镜甲状腺切除术具有切口小、出血少及美容满意度高等优点,是安全而可行的手术方法。
Objective To observe the safety and feasibility of endoscopic thyroidectomy via breast approach. Methods The clinical data of 61 patients with thyroid diseases admitted between Apt 2004 and May 2011 in our hospital were analyzed retrospectively. All of 61 patients were treated with endoscopic thyroidectomy via breast approach. Results 61 operations were successful, among of 6 patients converted to conventional open thyroid cancer radical resection due to thyroid papillary carcino- ma of intraoperative outcomes. Mean operative time was 93 rain, mean intraoperative blood loss was 48.7ml, drainage tube was removed 2-3 days after operation averagely, mean postoperative days in hospital was 4.8 days. There was not subcutaneous em- physema, subcutaneous effusion after operation. Only 4 patients had temporary hoarseness, however they get right as 3-month follow-up. Conclusion Endoscopic thyroidectomy via breast approach is a safe and feasible surgical approach with advantages of small incision,less bleeding and high degree of satisfaction with cosmetic results.
出处
《中国现代医药杂志》
2011年第12期40-42,共3页
Modern Medicine Journal of China
