CAJ | 학술논문

目的：探讨改良Miccoli手术在甲状腺良性疾病中临床应用的可行性、临床效果。方法：回顾分析我院自2005年10月～2010年7月行改良Miccoli手术治疗甲状腺良性疾病131例临床资料。结果：本组131例手术，130例获成功，一例因出血中转开放手术，手术时间35～155min，平均56min。术中出血量5～30ml，平均10ml。术后住院1～7天，平均3.5天。术后皮下积液5例，切缘皮肤烧伤3例，暂时性声音嘶哑一例，无低钙抽搐、喉上神经损伤等并发症；病人术后疼痛轻，对颈部美容满意。术后随访3～56个月，行甲状腺超声、CT检查无复发。结论：应用改良Miccoli手术治疗甲状腺良性疾病是安全、可行的，兼有微创、美容双重效果，改良Miccoli手术具有创伤小、出血少、恢复快、并发症少、手术过程无需CO2来维持手术操作腔隙等优点。
목적：탐토개량Miccoli수술재갑상선량성질병중림상응용적가행성、림상효과。방법：회고분석아원자2005년10월～2010년7월행개량Miccoli수술치료갑상선량성질병131례림상자료。결과：본조131례수술，130례획성공，일례인출혈중전개방수술，수술시간35～155min，평균56min。술중출혈량5～30ml，평균10ml。술후주원1～7천，평균3.5천。술후피하적액5례，절연피부소상3례，잠시성성음시아일례，무저개추휵、후상신경손상등병발증；병인술후동통경，대경부미용만의。술후수방3～56개월，행갑상선초성、CT검사무복발。결론：응용개량Miccoli수술치료갑상선량성질병시안전、가행적，겸유미창、미용쌍중효과，개량Miccoli수술구유창상소、출혈소、회복쾌、병발증소、수술과정무수CO2래유지수술조작강극등우점。
objective: to investigate the improved Miccoli surgery in thyroid benign disease clinical application feasibility and clinical effect. Methods: retrospective analysis of our hospital from October 2005 to July 2010 rows modified Miccoli surgical treatment of thyroid benign disease, 131 cases of clinical data. Results: 131 cases of surgery, 130 cases of success, one case of bleeding transit open surgery, surgery time 35 ~ 155 min, an average of 56 min. Intraoperative blood loss 5 ~ 30 ml, an average of 10 ml. Postoperative hospital 1 ~ 7 days, an average of 3.5 days. Postoperative fol ow-up of 3 ~ 56 months, without relapse of thyroid ultrasound and CT examination. Conclusion: the application of modified Miccoli surgery for benign thyroid diseases is safe and feasible.