甲状腺近全切除术切口双侧侧下方引流切口的临床应用

Bilaterial drainages below the near total thyroidectomy incision

目的探讨甲状腺近全切除术切口侧下方引流切口的方法及其效果。方法于1998年12月～2004年7月间对63例甲状腺双侧肿块行甲状腺近全切除术,引流采用切口双侧侧下方分别做一切口置引流管进行引流。结果甲状腺近全切除术采用切口双侧侧下外方引流,最少引流量10 ml,最多120 ml,平均38 ml,所有病例引流通畅且术后引流口易被衣领掩盖,美学效果较好,无1例感染和死亡。结论甲状腺近全切除术采用甲状腺切口双侧侧下外方引流切口方式引流通畅,引流口隐蔽,易被领角掩盖,美学效果较好。

OBJECTIVE To design a new draining method for near total thyroidectomy. METHODS Bilateral drainages were performed during near total thyroidectomy in 63 cases between December 1998 and July 2004. The bilateral drain incision for near total thyroidectomy was performed at the lower part of the neck. RESULTS All the draining operative procedures produced cosmetic scarsand the drainage was effective. The mean amount of drainage was 38 ml （minimum 10 ml, maximum 120 ml） and no patients developed wound infection. Postoperative drain incision was limited under the clavicle, covered by the collar and left the patients satisfied with the results. There were no postoperative hematoma or seroma. CONCLUSION The bilateral drain incision for near total thyroidectomy placed at the lower part of the neck results in a cosmetic scar, which is easily covered by the collar and was safe and effective.