【摘要】 目的:总结甲状腺癌时甲状腺全切除或近全切除手术的操作经验与体会。方法:采用精细的被膜外血管分离技术分辨、保留甲状旁腺及其血供,同时设法避让喉返神经。结果:180例甲状腺癌的首次或再次甲状腺全切或近全切除手术均获成功,无一例因操作失当而出现永久性声嘶和(或)永久性麻木及手足抽搐。结论:掌握操作原则和改善技术可以显著提高甲状腺全切除手术的安全性,有助于保证手术的彻底性。更多还原

【Abstract】 Objective:To summerize the experience gained in carrying out total or near total thyroidectomy for differenciated thyroid carcinoma.Methods:The key points of the operative procedure consist of identifying the parathyroids and protecting well its delicate vessels intact while performing the dissection,keep away also the recurrent laryngeal nerves using a meticulous technique of excapsular dissection Results:Of the180cases operated upon,none experienced postoperatively permanent numbness,tetany or horsiness.Conclusions:The meticulous technique adopted plays a key role in ensuring the safety of total or near total thyroidectomy for radical purposes.更多还原