经胸骨切迹下方低位切口甲状腺切除术

THYROIDECTOMY FROM PRESTERNAL INCISION

目的评价经胸骨切迹下方低位切口甲状腺切除术的可行性和美容效果。方法对48例甲状腺良恶性肿瘤患者分别行经胸骨切迹下方低位切口甲状腺切除术。结果所有患者术后均恢复良好,未发现声音嘶哑、饮水呛咳和术后低血钙性抽搐或胸骨前瘢痕组织增生和肿瘤复发,无明显皮瓣粘连、水肿及颈部紧缩感。结论经胸骨切迹下方低位切口安全可行,它可以满足甲状腺手术所需要的切口暴露,不影响手术的效果,同时更能满足患者美容的要求。

Objective To evaluate the feasibility and cosmetic outcome of thyroidectomy with the presternal approach. Methods 48 patients received thyroidectomy with the presternal approach. Results All the patients completely recovered without complications such as hoarseness, cough, ticbecause of hypocalcaemia, hyperthropic scar, obvious edema, constrictive feeling of neck or clinical recurrence. Conclusion Presternal incision is a new and safe approach to nice exposure thyroidectomy with good cosmetic result.