CAJ | 학술논문

2010年10月至2011年5月对57例术前拟诊为甲状腺良性疾病患者行内镜辅助下小切口手术治疗.取颈前小切口在特殊器械提吊下以内镜及超声刀辅助手术治疗,1例术中快速冰冻病理检查为恶性病变而转为开放手术,余56例手术均获得成功.平均手术时间42 min,术后住院2～3d,切口长度1.5 ～3.5 cm,均一期愈合.除1例出现术后一过性声音嘶哑外,无呛咳、口唇麻木及术后继发出血等并发症发生,均顺利出院.该术式具有微创美容、出血量少、并发症发生率低及适应证广等特点.
2010년10월지2011년5월대57례술전의진위갑상선량성질병환자행내경보조하소절구수술치료.취경전소절구재특수기계제조하이내경급초성도보조수술치료,1례술중쾌속빙동병리검사위악성병변이전위개방수술,여56례수술균획득성공.평균수술시간42 min,술후주원2～3d,절구장도1.5 ～3.5 cm,균일기유합.제1례출현술후일과성성음시아외,무창해、구진마목급술후계발출혈등병발증발생,균순리출원.해술식구유미창미용、출혈량소、병발증발생솔저급괄응증엄등특점.
To explore the clinical application and value of small incisions in the treatment of benign thyroid diseases with endoscopic assistance.A total of 57 cases with thyroid nodules were operated under the assistance of ultrasonic scalpel and endoscope with the lifting-up of special instrument and small neck incisions.However one malignant case was converted iuto open surgery according to frozen sections.The other 56 cases were successfully operated.The mean operative duration was 42 min and postoperative stay 2 -3 days.All incisions achieved primary healing and the length range was 1.5 - 3.5 cm.Except for transient hoarseness in 1 case,there was no such complications as choking,lip paralysis or hemorrhage,etc.All were discharged uneventfully.This surgical approach shall be recommended for its merits of miniinvasiveness,less hemorrhage,fewer complications and wider applications.