首页|上外侧入路法改良Miccoli手术在甲状腺良性疾病中的临床应用

上外侧入路法改良Miccoli手术在甲状腺良性疾病中的临床应用

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目的:探讨改良Miccoli手术在甲状腺良性疾病中临床应用的可行性、临床效果。方法:回顾分析我院自2005年10月~2010年7月行改良Miccoli手术治疗甲状腺良性疾病131例临床资料。结果:本组131例手术,130例获成功,一例因出血中转开放手术,手术时间35~155min,平均56min。术中出血量5~30ml,平均10ml。术后住院1~7天,平均3.5天。术后皮下积液5例,切缘皮肤烧伤3例,暂时性声音嘶哑一例,无低钙抽搐、喉上神经损伤等并发症;病人术后疼痛轻,对颈部美容满意。术后随访3~56个月,行甲状腺超声、CT检查无复发。结论:应用改良Miccoli手术治疗甲状腺良性疾病是安全、可行的,兼有微创、美容双重效果,改良Miccoli手术具有创伤小、出血少、恢复快、并发症少、手术过程无需CO2来维持手术操作腔隙等优点。
The clinical experience of lobectomy of benign thyroid diseases with Improved Miccoli methods
objective: to investigate the improved Miccoli surgery in thyroid benign disease clinical application feasibility and clinical effect. Methods: retrospective analysis of our hospital from October 2005 to July 2010 rows modified Miccoli surgical treatment of thyroid benign disease, 131 cases of clinical data. Results: 131 cases of surgery, 130 cases of success, one case of bleeding transit open surgery, surgery time 35 ~ 155 min, an average of 56 min. Intraoperative blood loss 5 ~ 30 ml, an average of 10 ml. Postoperative hospital 1 ~ 7 days, an average of 3.5 days. Postoperative fol ow-up of 3 ~ 56 months, without relapse of thyroid ultrasound and CT examination. Conclusion: the application of modified Miccoli surgery for benign thyroid diseases is safe and feasible.

thyroid diseasethyroidectomyendoscope

王耀辉、马骏、董爱民、李建、王敏飞、陈旭

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辽宁省抚顺市中心医院微创外科 113006

甲状腺疾病 甲状腺切除术 内窥镜

2014

中外健康文摘
中国中医药报社

中外健康文摘

影响因子:0.016
ISSN:1672-5085
年,卷(期):2014.(5)
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