Miccoli术式治疗甲状腺良性肿瘤的临床体会

Clinical experiences of Miccoli thyroidectomy in treating benign thyroid tumor

目的:总结Miccoli术式治疗甲状腺良性肿瘤的手术经验与临床体会。方法:回顾分析2009年1月至2011年12月为43例甲状腺良性肿瘤患者行Miccoli术式的临床资料。结果:43例手术均获成功。颈部切口长度1.5～2.5 cm,平均2.2 cm;手术时间平均(65±10)min;术中出血量<10 ml;术后发生暂时性喉返神经麻痹1例,无其他并发症发生。结论:Mic-coli术式明显缩短了颈部疤痕,具有较好的美容及微创效果;良好的操作空间与无血操作是手术成功的关键。

Objective：To summarize the operative experiences of Miccoli thyroidectomy in treating benign thyroid tumor. Meth- ods：The clinical data of 43 patients with benign thyroid tumor treated with Miccoli thyroidectomy from Jan. 2009 to Dec. 2011 were analyzed retrospectively. Results：All patients were operated successfully. Mean length of neck incision and operative time were 2.2 （ 1.5-2.5 ） cm and （65 ＋- 10） rain,respectively. The intraoperative blood loss was less than 10 ml. No complications were recorded ex- cept 1 case of transient palsy of recurrent laryngeal nerve postoperatively. Conclusions： Miccoti thyroidectomy can minimize the surgical scar on neck, and has better cosmetic effect and less invasion. The management of operative space and hemostasis is critical for the suc- eess of operation.