腔镜下甲状腺切除术的临床应用(附53 例报告).pdfVIP

腔镜下甲状腺切除术的临床应用( 附53 例报告) 马　冰，田　文，陈　凛，李　荣，刘培发，杨　松，丁国飞，郑亚杰 解放军总医院 普通外科，北京　100853 摘要 ：目的 探讨腔镜下行甲状腺切除术的可行性及临床应用价值。方法 2003 年 10 月 -2010 年 1 月对我院 53 例甲状腺不 同疾病患者 (26 例甲状腺腺瘤、14 例结节性甲状腺肿、2 例甲状腺功能亢进和 11 例甲状腺癌 ) 行腔镜下甲状腺手术。结果 完成手术 52 例，其中单孔腔镜手术 3 例，中转 1 例。平均手术时间 90 (62-210)min，术中出血 5-50ml，术后平均住院 5d。 2 例出现暂时性喉返神经麻痹，无甲状旁腺损伤等其他并发症发生。术后随访 45 例，时间 8 个月 -5 年，平均 24 月，患者 均对手术治疗效果满意。结论 腔镜下甲状腺切除术安全可行，颈部无疤痕，具有很好手术及美容效果。 关键词 ：腔镜 ；甲状腺切除术 ；手术中并发症 ；单孔 中图分类号 ：R 653　　文献标识码 ：A　　文章编号 ：110104　　DOI: CNKI:11-3275/R1003.000 2011-03-08 10:03 网络出版地址 ： 网络出版时间：　　　　　 /kcms/detail/11.3275.R1003.000.html Application of endoscopic thyroidectomy in clinical practice with a report of 53 cases MA Bing, TIAN Wen, CHEN Lin, LI Rong, LIU Pei-fa, YANG Song, DING Guo-fei, ZHENG Ya-j ie Department of General Surgery, Chinese PLA General Hospital, Beij ing 100853, China Corresponding auther: TIAN Wen. Email: tianwen30 1@ Abstract: Objective To study the possibility and clinical value of laparoscopic thyroidectomy. Methods Fifty-three patients (26 with thyroid adenoma, 14 with nodular goiter, 11 with thyroid carcinoma and 2 with hyperthyroidism) underwent endoscopic thyroidectomy in our hospital from October 2003 to January 20 10. Results The endoscopic thyroidectomy was successful in 52 patients. Of these patients, 1 received single-port laparoscopic operation, 1 was transferred to open surgery. The mean operation time was 90min (62-2 10min), the blood loss was 5-50mL, and the mean hospital stay time was 5 days. Forty-five patients were followed up for 8 months to 5 years (mean 24 months) after operation. All the patients were satisfied with the outcome. Conclusion Laparoscopic thyroidectomy is a safe procedure with a good cosmetic effect and no scar formation. Key words: Endoscopy; Thyroidectomy; Intraoperative Complications; Single Borehole 甲状腺外科疾病患者大部分为年轻女性，传 2 手术方法　所有患者均采取气管插管全麻。