中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2014年
2期
16-18
,共3页
甲状腺功能亢进症%腔镜%测量尺%残留量
甲狀腺功能亢進癥%腔鏡%測量呎%殘留量
갑상선공능항진증%강경%측량척%잔류량
Hyperthyroidism%Endoscopy%Measuring tape%Remnant
目的 探讨胸乳径路腔镜甲状腺功能亢进症(甲亢)术中测量腺体残留量科学、实用的方法.方法 回顾性分析应用胸乳径路腔镜技术行双侧甲状腺次全切除术95例原发性甲亢患者的临床资料,其中目测腺体残留量32例,应用残留量测量尺63例,观察疗效.结果 95例原发性甲亢患者胸乳径路腔镜甲状腺次全切除术均顺利完成,无术后呼吸困难、出血、喉返神经及甲状腺旁腺损伤等严重并发症,术后恢复顺利.术后每2～3个月复查甲状腺功能,每6个月复查彩超,随访1.8～6.0年.目测腺体残留量32例中,手术后3个月甲亢复发3例,甲状腺功能低下2例,应用残留量测量尺63例中,均未发现甲亢复发及甲状腺功能低下.结论 胸乳径路腔镜甲亢术中应用残留量测量尺,按照3.0,2.0,0.5测量法,以1.06 g/cm3为标准保留腺体残留量是科学的实用方法,值得临床推广.
目的 探討胸乳徑路腔鏡甲狀腺功能亢進癥(甲亢)術中測量腺體殘留量科學、實用的方法.方法 迴顧性分析應用胸乳徑路腔鏡技術行雙側甲狀腺次全切除術95例原髮性甲亢患者的臨床資料,其中目測腺體殘留量32例,應用殘留量測量呎63例,觀察療效.結果 95例原髮性甲亢患者胸乳徑路腔鏡甲狀腺次全切除術均順利完成,無術後呼吸睏難、齣血、喉返神經及甲狀腺徬腺損傷等嚴重併髮癥,術後恢複順利.術後每2～3箇月複查甲狀腺功能,每6箇月複查綵超,隨訪1.8～6.0年.目測腺體殘留量32例中,手術後3箇月甲亢複髮3例,甲狀腺功能低下2例,應用殘留量測量呎63例中,均未髮現甲亢複髮及甲狀腺功能低下.結論 胸乳徑路腔鏡甲亢術中應用殘留量測量呎,按照3.0,2.0,0.5測量法,以1.06 g/cm3為標準保留腺體殘留量是科學的實用方法,值得臨床推廣.
목적 탐토흉유경로강경갑상선공능항진증(갑항)술중측량선체잔류량과학、실용적방법.방법 회고성분석응용흉유경로강경기술행쌍측갑상선차전절제술95례원발성갑항환자적림상자료,기중목측선체잔류량32례,응용잔류량측량척63례,관찰료효.결과 95례원발성갑항환자흉유경로강경갑상선차전절제술균순리완성,무술후호흡곤난、출혈、후반신경급갑상선방선손상등엄중병발증,술후회복순리.술후매2～3개월복사갑상선공능,매6개월복사채초,수방1.8～6.0년.목측선체잔류량32례중,수술후3개월갑항복발3례,갑상선공능저하2례,응용잔류량측량척63례중,균미발현갑항복발급갑상선공능저하.결론 흉유경로강경갑항술중응용잔류량측량척,안조3.0,2.0,0.5측량법,이1.06 g/cm3위표준보류선체잔류량시과학적실용방법,치득림상추엄.
Objective To investigate a practical scientific method for measurement of thyroid remnant in endoscopic thyroidectomy via breast approach.Methods The clinical data of 95 hyperthyroid patients were reviewed and analyzed.The patients were submitted to endoscopic thyroidectomy via breast approach and bilateral subtotal thyroid resection were performed.Thyroid remnant were assessed by naked eyes in 32 cases,thyroid remnant measuring tape in 63 cases.The therapeutic effect was observed.Results All the operations were successfully performed.There was no dyspnea,bleeding,recurrent laryngeal nerve and thyroid gland injury,postoperative recovery was well.The function of thyroid gland was reviewed after operation every 2-3 months,and reviewed by color ultrasound after operation every 6 months.Followed up for 1.8-6.0 years.In 32 patients whose thyroid remnant were assessed by naked eyes,3 patients showed relapse after operation 3 months,2 patients developed hypothyroidism.In 63 patients whose thyroid remnant were assessed by thyroid remnant measuring tape,there had no relapse and hypothyroidism.Conclusion Using thyroid remnant measuring tape in endoscopic thyroidectomy,according to 3.0,2.0,0.5 measurement method,make 1.06 g/cm3 as standard,is scientific,practical and clinical feasible.
