甲状腺和甲状旁腺肿瘤内镜辅助及内镜手术治疗-耳鼻咽喉科学专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要1 英文摘要2 英文缩写4 综述 甲状腺和甲状旁腺肿瘤内镜辅助及内镜手术治疗6 参考文献19 致谢26 个人简历27 PAGE 1万方数据 PAGE 1 万方数据 中 文 摘 要 甲状腺和甲状旁腺肿瘤内镜辅助及内镜手术治疗 摘 要 甲状腺和甲状旁腺肿瘤是头颈部常见的肿瘤之一，手术是其主要治疗 方法。随着微创外科和微创思潮的发展及患者对美容要求的提高，微创外 科的技术及观念已渗透到甲状（旁）腺外科领域，内镜甲状（旁）腺切除 术应运而生。 与传统开放甲状腺手术相比内镜甲状（旁）腺切除术具有手术切口小， 术后疼痛轻，美容效果好等优势，而且能达到与开放手术相同的治疗效果， 但内镜下甲状（旁）腺切除术的学习曲线相对于传统开放手术要长。自第 一例颈部内镜手术报道以来，各种各样的手术入路先后被尝试，形成了多 元化的手术入路方式。每种手术入路有其各自的手术适应症、禁忌症、优 势和不足，但这些手术入路的共同目的是获得美观效果或减少手术创伤。 随着内镜甲状（旁）腺切除术的广泛应用和快速发展，手术适应症也 随着技术的发展不断扩大,并发症发生率越来越低。选择合理的手术术式， 遵循手术的适应症和禁忌症，严格把握患者的准入原则，内镜甲状（旁） 腺切除术可以成为一种安全、有效、可行的治疗甲状腺和甲状旁腺肿瘤的 方法。内镜甲状（旁）腺切除术就其美容效果佳、缺陷少等优势已经引起 了业内相关人士的广泛兴趣和关注。 关键词：内镜，甲状（旁）腺肿瘤，甲状（旁）腺切除术，手术入 路，现状 英 英 文 摘 要 Endoscopic and video-assisted thyroidectomy or parathyroidectomy for thyroid or parathyroid tumors ABSTRACT The Thyroid and parathyroid tumors are one of the common tumors in the head and neck, and surgical resection is the main treatment method. With the development of minimally invasive surgery and minimally invasive trend and the improvement of patients requirements for cosmetic surgery, minimally invasive surgical techniques and concepts have penetrated into the field of thyroid or parathyroid surgery, so endoscopic thyroidectomy or parathyroidectomy rise in response to the proper time and conditions. Compared with the conventional open thyroidectomy or parathyroidectomy, the endoscopic thyroidectomy or parathyroidectomy has a smaller operation incision, less pain, and has a superior cosmetic result, as while as can achieve the same therapeutic effect as the conventional open thyroidectomy or parathyroidectomy. But the learning curve of endoscopic thyroid surgery is relatively longer than the traditional open surgery. Since the first reported case of cervical endoscopic surgery, various surgical approaches have been tried, and there has been formed a diversified surgical approach. Each approach has its own indications, contraindications, advantages and disadvantages, but the common purpose of these surgical