全乳晕入路腔镜甲状腺手术(附65例报道)的开题报告.docxVIP

全乳晕入路腔镜甲状腺手术(附65例报道)的开题报告

摘要：

目的：评价全乳晕入路腔镜甲状腺手术的安全性和有效性，探讨其在甲状腺外科中的应用价值。

方法：选取65例行全乳晕入路腔镜甲状腺手术患者进行分析，比较手术参数及并发症的发生率，并归纳手术经验。

结果：65例患者手术成功率达到100%，术后并发症发生率仅为3.08%，没有出现视神经、喉返神经等重要结构损伤相关并发症，手术时间为81.9±29.4分钟，术中出血量为9.2±3.7ml。患者术后无疤痕，减少了意外产生疤痕的风险。手术经验归纳为：（1）熟练掌握手术技巧，尤其是双手协作；（2）严格控制手术过程中水肿、出血及手术时间；（3）注意手术适应证和禁忌的病例选择；（4）充分评估甲状腺周围解剖结构；（5）遵循术后伤口护理规范。

结论：全乳晕入路腔镜甲状腺手术是一种安全、有效、美容的甲状腺手术方法，能够取得良好的疗效。但是需要高水平的手术技能和精湛的操作技巧，并注意手术的适应证和禁忌证的选择。

关键词：全乳晕入路，腔镜手术，甲状腺手术

Abstract:

Purpose:Toevaluatethesafetyandefficacyoftotalareolarapproachendoscopicthyroidectomyandexplorethevalueofitsapplicationinthyroidsurgery.

Methods:Sixty-fivepatientswhounderwenttotalareolarapproachendoscopicthyroidectomywereanalyzed,andtheincidenceofsurgicalparametersandcomplicationswascompared.Surgicalexperiencewassummarized.

Results:Thesuccessrateofthesurgeryin65caseswas100%,andtheincidenceofpostoperativecomplicationswasonly3.08%,withnoimportantstructuraldamagerelatedcomplicationssuchasopticnerveneuralgiaandrecurrentlaryngealnerveinjury.Theoperationtimewas81.9±29.4minutes,andtheintraoperativebleedingamountwas9.2±3.7ml.Thepatientshadnoscaraftertheoperation,thusreducingtheriskofunexpectedscars.Thesurgicalexperiencewassummarizedasfollows:(1)proficientinsurgicaltechniques,especiallythecooperationofbothhands;(2)strictcontrolofedema,bleeding,andoperationtimeduringsurgery;(3)attentiontoappropriateandcontraindicatedcasesforsurgery:(4)fullyevaluatingtheperipheralanatomyofthethyroidgland;(5)adheringtopostoperativewoundcareregulations.

Conclusion:Totalareolarapproachendoscopicthyroidectomyisasafe,effective,andcosmeticmethodforthyroidsurgery,achievinggoodtherapeuticeffects.However,itrequiresahighlevelofsurgicalskillsandknowledgeoftheoperativetechniques,alsotopayingattentiontotheselectionofappropriateandcontraindicatedpatie