CAJ | 학술논문

目的探讨腔镜下甲状腺手术并发症的特点及防治方法.方法回顾性分析105例腔镜下甲状腺手术的临床效果和并发症发生情况.结果 105例平均手术时间85 min,因出血转开放手术5例,因术中病理为乳头状癌转开放手术11例.术后皮下淤血5例,皮下气肿10例,颈部及胸前皮肤发紧不适7例,甲状旁腺损伤2例.105例均无喉上、喉返神经损伤.结论在严格控制手术适应证的前提下,熟练细致的腔镜操作技巧,熟悉甲状腺的解剖结构,术后并发症的及时、妥善处理,可以减少和预防并发症的发生.
목적 탐토강경하갑상선수술병발증적특점급방치방법.방법 회고성분석105례강경하갑상선수술적림상효과화병발증발생정황.결과 105례평균수술시간85 min,인출혈전개방수술5례,인술중병리위유두상암전개방수술11례.술후피하어혈5례,피하기종10례,경부급흉전피부발긴불괄7례,갑상방선손상2례.105례균무후상、후반신경손상.결론 재엄격공제수술괄응증적전제하,숙련세치적강경조작기교,숙실갑상선적해부결구,술후병발증적급시、타선처리,가이감소화예방병발증적발생.
Objective To understand the characteristics of complications occurred after endoscopic thyroidectomy and its prevention and treatment.Methods Retrospective analysis on the clinical effects and complications of 105 cases of endoscopic thyroidectomy.Results The average operative time was 85 minutes in the 105 cases.Five cases were transferred to open operation because of bleeding and 11 cases transferred for the intraoperative pathology of papillary carcinoma.After operation,subcutaneous ecchymosis occurred in 5 patients,subcutaneous emphysema in 10 cases,neck and anterior chest skin tautness and discomfort in 7 cases,parathyroid injury in 2 cases.No superior laryngeal nerve or recurrent laryngeal nerve injury was found in the 105 cases.Conclusion Under strict control on operation indications,proficient and meticulous endoscope operative skills,familiarization with the anatomical structure of thyroid,and timely and proper treatment on postoperative complications can reduce and prevent the occurrence of complications.