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
8期
27-30
,共4页
甲状腺切除术%内窥镜%锁骨下%喉上神经%损伤
甲狀腺切除術%內窺鏡%鎖骨下%喉上神經%損傷
갑상선절제술%내규경%쇄골하%후상신경%손상
Thyroidectomy%Endoscopes%Subclavicular%Superior laryngeal nerve%Injury
目的 探讨经锁骨下入路无注气内镜辅助甲状腺切除术中喉上神经的保护.方法 对100例行经锁骨下入路无注气内镜辅助甲状腺切除术患者的临床资料进行回顾性分析.其中,结节性甲状腺肿69例,腺瘤18例,单纯性甲状腺肿13例;行一侧腺叶全切除35例,一侧腺叶次全切除8例,一侧腺叶全切除+对侧腺叶次全切除48例,双侧腺叶次全切除9例.结果 全部100例患者术后发音正常,无声调低沉、饮水呛咳等,患者术后7～ 30 d复查喉镜,未发现异常.结论 经锁骨下入路无注气内镜辅助甲状腺切除术是一种安全美容手术方式,可以有效避免损伤喉上神经.
目的 探討經鎖骨下入路無註氣內鏡輔助甲狀腺切除術中喉上神經的保護.方法 對100例行經鎖骨下入路無註氣內鏡輔助甲狀腺切除術患者的臨床資料進行迴顧性分析.其中,結節性甲狀腺腫69例,腺瘤18例,單純性甲狀腺腫13例;行一側腺葉全切除35例,一側腺葉次全切除8例,一側腺葉全切除+對側腺葉次全切除48例,雙側腺葉次全切除9例.結果 全部100例患者術後髮音正常,無聲調低沉、飲水嗆咳等,患者術後7～ 30 d複查喉鏡,未髮現異常.結論 經鎖骨下入路無註氣內鏡輔助甲狀腺切除術是一種安全美容手術方式,可以有效避免損傷喉上神經.
목적 탐토경쇄골하입로무주기내경보조갑상선절제술중후상신경적보호.방법 대100례행경쇄골하입로무주기내경보조갑상선절제술환자적림상자료진행회고성분석.기중,결절성갑상선종69례,선류18례,단순성갑상선종13례;행일측선협전절제35례,일측선협차전절제8례,일측선협전절제+대측선협차전절제48례,쌍측선협차전절제9례.결과 전부100례환자술후발음정상,무성조저침、음수창해등,환자술후7～ 30 d복사후경,미발현이상.결론 경쇄골하입로무주기내경보조갑상선절제술시일충안전미용수술방식,가이유효피면손상후상신경.
Objective To discuss the methods of the prevention of the superior laryngeal nerveinjury at endoscopic thyroidectomy through subclaviclar approach.Methods The clinical data of 100 patients with thyroid diseases received endoscopic thyroidectomy through subclavicular approach were analyzed retrospectively.Nodular goiter in 69 cases,adenoma in 18 cases,simple goiter in 13 cases.Line side lobe resection in 35 cases,the side lobe subtotal in 8 cases,the side lobe resection + subtotal contralateral lobe in 48 cases,bilateral subtotal gland in 9 cases.Results All 100 patients after surgery pronounced normal,no tone deep,choking water,etc,patients 7-30 d laryngoscope review found no abnormalities.Conclusion Thyroidectomy through subclavicular approach under endoscope is calleidic thyroidectomy,effectively avoid permanent superior laryngeal nerve injury.
