【摘要】 目的探讨经峡部径路行甲状腺手术的临床应用。方法回顾性分析我院1996年1月—2006年1月5751例行甲状腺手术患者的临床资料,按手术方式分为两组,施行经峡部径路甲状腺切除术的3288例为改良组,同期施行传统切除术式的2463例为对照组,比较手术方式对手术时间、术中出血、术后引流及并发症等的影响。结果经峡部径路行甲状腺手术组手术时间较常规手术组明显缩短(P<0.01),术中出血量、喉返神经损伤率、术后气管局部不适及低钙血症的发生率明显减少(P<0.01),术后引流量减少(P<0.05),患者对手术耐受性好,术后出血发生率无统计差异(P>0.05)。结论经峡部径路行甲状腺手术可明显缩短手术时间,减少术中出血,降低喉返神经损伤、术后出血、低钙血症等并发症的发生率。更多还原

【Abstract】 Objective To analyze the significance of the modified approach by per-isthmus incision for thyroidectomy. Methods Retrospectively analysis was conducted on the clinical date of 5,751 patients who underwent thyroidectomy from Jan. 1996 to Jan. 2006. The patients were divided into trial group and control group. The former group was treated with modified approach by per-isthmus incision for thyroidectomy, and the latter group was treated with routine approach. Operation time, bleeding volume, and complications were observed. Results In the tial group, the mean operation time, bleeding volume, temporary injury of recurrent laryngeal nerve, and hypocalcemia were significantly decreased (P<0.01). The patients of the trial group tolerated the operation more easily, compared to those of the control group. There was no statistical difference in the incidence of postoperative bleeding between the two groups.Conclusion The modified approach by per-isthmus incision for thyroidectomy can obviously decrease operation time, bleeding volume, injury rate of recurrent laryngeal nerve and hypocalcemia. It is worth applying in clinical practice.更多还原