CAJ | 학술논문

目的：总结腔镜甲状腺手术近期并发症的发生原因和防治经验。方法回顾性分析实施腔镜甲状腺手术患者的近期并发症的可能因素。结果2010年8月至2013年12月，86例经胸或经乳晕入路的腔镜甲状腺大部或次全切除术，12例患者发生一种或几种近期并发症，发生率13.95％。术后近期并发症：皮肤灼伤1例，皮下气肿5例，皮下血肿2例，胸骨上窝积液3例；残留甲状腺结节1例；暂时性声音嘶哑1例；颈、胸皮肤粘连发紧4例；血栓性浅静脉炎3例。12例并发症患者经相应处理后均痊愈。结论腔镜甲状腺手术近期并发症的发生与手术技巧和围手术期处理有关；把握好手术适应证，熟练的腔镜技术和丰富的开放手术经验是减少和避免近期并发症发生的关键。
목적：총결강경갑상선수술근기병발증적발생원인화방치경험。방법회고성분석실시강경갑상선수술환자적근기병발증적가능인소。결과2010년8월지2013년12월，86례경흉혹경유훈입로적강경갑상선대부혹차전절제술，12례환자발생일충혹궤충근기병발증，발생솔13.95％。술후근기병발증：피부작상1례，피하기종5례，피하혈종2례，흉골상와적액3례；잔류갑상선결절1례；잠시성성음시아1례；경、흉피부점련발긴4례；혈전성천정맥염3례。12례병발증환자경상응처리후균전유。결론강경갑상선수술근기병발증적발생여수술기교화위수술기처리유관；파악호수술괄응증，숙련적강경기술화봉부적개방수술경험시감소화피면근기병발증발생적관건。
Objective To summarize the cause, prevention and therapy of short-term complications of endoscopic thyroidectomy.Methods The risk factors of short-term complications of the patients underwent endoscopic thyroidectomy were retrospectively reviewed.Results Eighty six patients underwent endoscopic thyroidectomy through the approach approach of chest-wall or areola papillaris from August 2010 to December 2013.Of these patients 12 have different kinds of postoperative complications with a complication incidence rate of 13.95%.One patient had skin burn, 5 did hypodermic emphysema,2 did hypodermic gore,3 did subcutaneous fluid collection in suprasternal fossa,1 did leftover of small nodes in thyroid,1 did transient hoarseness,4 did neck and chest skin tight and 3 did superficial thrombophlebitis.All patients with the postoperative complication were cured by conservative therapies.Conclusions The short-term postoperative complications of endoscopic thyroidectomy are usually correlated with operative skill and the treatment of perioperative period; Strict operation indication,expert endoscopic technique and open operation experience is the key to reduce and avoid the incidence of short-term postoperative complications.