甲状腺机能亢进症手术显露方法的改进探讨（附131例报告）

Modified Surgical Style for Manifestation in Thyroidectomy(a report of 131 cases)

目的 为手术治疗甲状腺机能亢进症寻找一种简便的甲状腺显露方法。方法 切开皮肤，分离皮瓣，纵行切开颈白线后不切断颈前肌群，直接分离、显露甲状腺，进行甲状腺次全切除术。结果 显露良好，手术效果满意，全组１３１例，手术时间平均２．２小时，术中出血平均８０ｍｌ，术后平均住院４．１天，术后引流量平均３５ｍｌ。并发症４例，无甲亢危象、颈部血肿、呼吸困难发生。结论 该方法创伤小、出血少，是安全。

Objective:Its study to explore an easy method of manifest thyroid during surgical treatment of hyperthyroidism.Method:The first,incise skin,separate skin flap;then incise linea alba cervicalis,separate manifest thyroid directly,without strucking muscali cervicis anterior.Finally,make a subtotal thyroidectomy.Result:Its better manifest thyroid an achieved good result in our research group.It averaged 2.2 hours for a case of thyroidectomy and bleeding below 80 ml;The average drain was 35 ml and average hospitalization was 4.1 days after the operation.there were 4 cases with slight complication,but no thyrotoxicosis,cervical haematoma and dyspnea occurred.Conclusion:The method is a little damage,bleeding.It is a safe and handy method during thyroidectomy for manifest thyroid.