[摘要] 目的 探究經胸乳途徑腔鏡甲狀腺手術的治療效果。方法 整群選取該院2014年2月—2016年7月收治的68例經胸乳途徑腔鏡甲狀腺手術患者的臨床資料進行回顧性分析。結果 68例患者都順利完成腔鏡甲狀腺手術,手術時間63~147 min,平均手術時間107 min。術中出血量6~64 mL。術中冷凍切片檢查表明66例患者為良性腫瘤,2例患者顯示甲狀腺癌,馬上轉至開放式手術治療。手術完成后出現胸前皮下瘀斑2例,14 d后消退。皮下積液1例,穿刺抽液以后痊愈。1例低鈣性手足搐弱,14 d后癥狀消失。術后1例患者出現聲音嘶啞,30 d后癥狀改善。住院時間4~6 d,平均住院時間5.1 d。結論 腔鏡甲狀腺手術具有多種優勢,如切口較小、出血量較少、美觀滿意度高等,具有顯著的安全性與可行性。
[關鍵詞] 經胸乳途徑;腔鏡;甲狀腺手術
[中圖分類號] R5 [文獻標識碼] A [文章編號] 1674-0742(2016)11(a)-0051-03
[Abstract] Objective To explore the way breast cavity mirror effect of the treatment of thyroid surgery. Methods Group selected the hospital 68 cases by breast approach endoscopic thyroidectomy in patients with clinical data, since February 2014 to July 2016, were retrospectively analyzed. Results 68 patients were successfully completed cavity mirror thyroid surgery, surgery time from 63 to 147 min, the average operation time of 107 min. 6 to 64 mL of intraoperative blood loss. Intraoperative frozen biopsy showed that 66 cases of patients with benign tumor, 2 patients showed that thyroid cancer, immediately transferred to open surgery. Produced after the completion of chest surgery subcutaneous ecchymosis in 2 cases, fade after 14 d. After subcutaneous effusion in 1 case, puncture pumping liquid to heal. 1 case of low calcium brothers Chu weak, 14 d after symptoms disappear. 1 case of patients with postoperative hoarseness, symptoms improved after 30 d. Length of hospital stay 4 to 6 d, the average hospitalization time 5.1 d. Conclusion Endoscopy thyroid surgery has many advantages, such as smaller incision, less blood loss and high aesthetic satisfaction, safety and feasibility of significant.
[Key words] Through breast milk; The cavity mirror; Thyroid surgery
甲狀腺占位和包塊在臨床上十分常見,由于其突變率較高,絕大部分患者都需要手術治療。傳統的開放甲狀腺手術會在頸部留下較大瘢痕,對美觀性造成一定的影響[1]。隨著我國醫療技術水平的提高,甲狀腺外科學者對微創手術進行了不斷的探索。該研究探究了2014年2月—2016年7月經胸乳途徑腔鏡甲狀腺手術患者的治療效果,現報道如下。
1 資料與方法
1.1 一般資料
整群選取的68例經胸乳途徑腔鏡甲狀腺手術患者,均來自于該院收治的其中男性患者8例,女性患者60例,最小年齡20歲,最大年齡50歲,經過病理診斷結果顯示:有2例甲狀腺乳頭狀腺癌,其接受單側甲狀腺全切,對策次全切;……