完全囊外甲状腺切除方法探讨

Exploration of Total Extracapsular Thyroidectomy

目的探讨完全囊外甲状腺切除的方法。方法对162例甲状腺疾病病人行完全囊外甲状腺切除术,对术后结果进行分析。结果无手术死亡及甲状腺危象发生,呼吸道梗阻2例(1.23%),喉返神经暂时性损伤5例(3.26%),喉上神经暂时性损伤4例(2.46%),暂时性甲状旁腺功能低下8例(4.94%),3个月后其功能均恢复正常。结论完全囊外甲状腺切除术安全可行,术后并发症低。

Objective To introduce a new extracapsular approach for thyroidectomy in patient with surgical thyroid disease. Methods The study summarized 162 patients after extracapsular thyroidectomy to observe the postoperative complication. Results There were no operative death and hyperthyroidism crisis, postoperative complications included respiratary tract obstruction in 2 cases （ 1.23% ） ,temporary injury of recurrent laryngeal nerve in 5 cases （3.26%） ,temporary ingury of superior laryngeal nerve in 4 cases （2.46%）,temporary injury of parathyroid in 8 cases （4.94%）. The function of all tissue with complications returned to normal after 3 months. Conclusion Postoperative camplicaton can be controlled,total extacapsular thyroidectomy is safe and useful.