47例内镜甲状腺手术与传统手术的疗效比较

【摘要】 目的汇报经胸前壁乳晕径路的内镜甲状腺手术47例,对其安全可行性和治疗效果进行分析探讨。方法对2005年8月至2008年8月术前诊断为良性甲状腺疾病的47例患者采用内镜甲状腺手术治疗。结果内镜手术组手术时间为(82.2±22.3)min,术中出血量为(37±17)mL,术后住院天数为(4.5±1.2)d,对手术后美容效果的满意度为91.5%。患者术后出现皮下瘀斑2例,其后自行消褪,无一例中转开放手术。颈部引流管术后24～36h拔除。结论经胸前壁径路具有较好的美容效果,术式可根据患者病情来自主选择术式。更多还原

【Abstract】 Objeclive To explore the feasibility and clinical advantage of endoscopic thyroidectomy by trans-thoracoareolar approach.Method From August 2005 to August 2008,47 patients underwent endoscopic thyroidectomy.Results 47 cases all successfully completed the endoscopic thyroidectomy.The operative time was(82.2 ± 22.3)min.Intraope rative blood loss was(37 ± 17)mL.Hospital stay after operation was(4.5 ± 1.2)d.the rate of satisfaction with the cosmetic efects of the procedures were 91.5%.2cases had skin sih patch in the anterior chest which was absorpted after surgery.There were no conversions to open surgery.Drainage tube was removed 24～36 hours postoperatively.Conclusion Endoscopic thyroidectomy by trans-thoracoareolar approach is safe an d applicable,also with good cosmetic efects.The procedure selection depends on both the patient request and the technology of the surgeons.更多还原