文档介绍：应用超声刀行完全囊外甲状腺次全切除术临床效果观察
作者:张晶锐,李荣江,刘维藩,黄振华
【摘要】目的探讨应用超声刀及完全囊外技术行甲状腺次全切除术的应用价值。方法对62例使用超声刀行完全囊外甲状腺次全切除术的病例进行回顾性分析。结果所有手术均顺利完成,术中失血约2~5ml,无喉上神经、喉返神经或甲状旁腺损伤等并发症发生。结论使用超声刀行完全囊外甲状腺次全切除术可以降低手术难度,缩短手术时间,具有切口小、不切断颈前肌群、出血少、操作简便、并发症少等优点,值得临床推广。
【关键词】超声刀;甲状腺次全切除术
Abstract Objective To discuss the application value of ultrasonic scalpel in extra-capsular subtotal thyroidectomy. Methods A retrospective analysis was made to the clinical data of 62 cases having received extra-scalpel subtotal thyroidectomy. Results All the operations were smoothly and essfully performed, and the blood loss of each case in operation was about 2ml to 5ml, no injury to superior laryngeal nerve, recurrent laryngeal nerve and parathyroid occurred. Conclusions Ultrasonic scalpel the performance of extra-capsular subtotal thyroidectomy much easier and shortens the operation time, and it is of such advantages as small incision without severing the jugular anterior fascicles, less blood loss, simple
performance and plications, and it is worthy of clinical application.
KEYWORDS subtotal thyroidectomy ultrasonic scalpel
我院自2005年1月~2008年11月应用超声切割止血刀(简称超声刀,Ultrasonicallyactivated shears,UAS)实施完全囊外甲状腺次全切除术62例,取得了良好效果,现报告如下。
1 资料与方法
临床资料
本组62例,男16例,女46例,(22~71岁)。其中甲状腺腺瘤48例,结节性甲状腺肿11例,原发性甲状腺功能亢进3例。全部病例行双侧或单侧甲状腺次全切除术,术中冰冻切片证实为良性病变。
手术步骤
(1)采用颈丛麻醉或气管插管全麻,颈前弧型低位领式切口,用电刀于颈阔肌后面的疏松组织间游离皮瓣