“拔萝卜”法在复发性良性甲状腺疾病再次手术中的应用

"Pulling-up Radish Method" in the Management of the Second Operation for Recurrence of Benign Thyroid Diseases

目的探讨“拔萝卜”法在良性甲状腺疾病术后复发再次手术中的应用价值。方法良性甲状腺疾病术后复发患者42例采用“拔萝卜”法再次手术：从甲状腺水平最高点分离，用7号线缝扎悬吊该处腺体组织，再用手术刀沿甲状腺组织内膜与周围纤维结缔组织之间的间隙分离，使腺体如“萝卜”一样拔出。结果平均手术时间（42.0±12.8）min；术中出血（21.0±10.4）ml；术后发生一过性甲状旁腺功能低下2例，无喉上神经及喉返神经损伤；41例获1.2-3年随访，有2例出现甲状腺功能低下，无其它并发症。结论“拔萝卜”法用于良性甲状腺疾病术后复发的再次手术安全可行、并发症少，可推广使用。

Objective To explore the clinical value of ＂pulling-up radish method＂ in the management of the second operation for recurrence of benign thyroid diseases.Methods 42 patients with recurrence of benign thyroid diseases were performed re-operation by ＂pulling-up radish method＂.Results The operative time and bleeding volume was（42.0±12.8） minutes and（21.0±10.4）ml respectively.Short-time hypoparathyroidism occurred in 2 cases,and no other complication happened in peri-operative term.Two suffered hypothyroidism during 1.2 to 3 years follow-up in 41 patients.Conclusions The skill of ＂pulling-up radish method＂ is safe and efficient for recurrence of benign thyroid diseases,which is worth popularizing.