CAJ | 학술논문

目的探讨无注气内镜辅助下锁骨下径路甲状腺手术的临床价值.方法采用锁骨下切口、内窥镜辅助下行甲状腺手术15例,其中13例行单侧甲状腺次全切除,2例行双侧甲状腺次全切除.所有患者均行喉返神经探查并保护,保护甲状旁腺.结果 15例患者术后无声音嘶哑、手足抽搐,皮瓣无血肿、淤血,切口愈合好.结论无注气内镜辅助下锁骨下径路甲状腺手术,同样能达到传统开放性手术要求原则(甲状腺次全切除并保护好喉返神经及甲状旁腺),该术式切口隐蔽、美观,不于颈前余留瘢痕,适应于美容效果要求高的病患群体.
목적 탐토무주기내경보조하쇄골하경로갑상선수술적림상개치.방법 채용쇄골하절구、내규경보조하행갑상선수술15례,기중13례행단측갑상선차전절제,2례행쌍측갑상선차전절제.소유환자균행후반신경탐사병보호,보호갑상방선.결과 15례환자술후무성음시아、수족추휵,피판무혈종、어혈,절구유합호.결론 무주기내경보조하쇄골하경로갑상선수술,동양능체도전통개방성수술요구원칙(갑상선차전절제병보호호후반신경급갑상방선),해술식절구은폐、미관,불우경전여류반흔,괄응우미용효과요구고적병환군체.
Objective To evaluate the clinical value of gasless video-assisted endoscopic thyroidectomy by infraclavicular wall.Methods 15 cases received gasless video-assisted endoscopic thyroidectomy by infraclavicular wall.13 cases underwent total thyroidectomy,2 cases underwent subtotal thyroidectomy.All 15 cases were protected recurrent laryngeal nerve and parathyroid by inspecting during the operation.Results All 15 patients were cured without hoarse and tetany,and the flaps without hematomas and extravasated blood.Conclusion Gasless video-assisted endoscopic thyroidectomy by infraclavicular also can reach the principle demand by the tradional opening way.As the supremacy way of aesthetic and hidden,it can be used to the patients who want high request on faces.