摘要
目的探讨精细化被膜解剖技术(MCD)在双侧甲状腺手术中的应用效果。方法双侧甲状腺良性疾病手术患者295例分为两组:A组189例,采用MCD;B组106例,采用非MCD;比较两组术后并发症发生情况。结果两组均顺利完成手术。A组术中失血量少于B组[(39.5±10.9)ml vs.(55.0±18.2)ml](P<0.05)。A组一过性喉返神经麻痹发生率低于B组(2.6%vs.8.5%)(P<0.05)。A组一过性甲状旁腺功能减退的发生率亦低于B组(6.9%vs.17.9%)(P<0.05)。结论采用MCD能够减少双侧甲状腺手术的并发症。
Objective To investigate the outcomes of application of meticulous capsular dissection（MCD） in bilateral thyroid operation. Methods A total of 295 patients undergoing the surgery for bilateral benign thyroid disease was divided into two groups of A（189 cases, application of MCD） and B（ 106 cases, application of non-MCD）. The postoperative complications were compared. Results The surgeries were all successful in both groups. The intraoperative blood loss in group A was less than that in group B[（39.5±10. 9） ml vs. （55.0±18.2） ml]（P〈0. 05）. The incidence rate of transient recurrent laryngeal nerve palsy after operation was lower in group A than that in group B （2.6% vs. 8.5%） （P〈0. 05）. So did the incidence rate of transient hypoparathyroidism （ 6.9 vs. 17.9%）（P〈0. 05）. Conclusion The bilateral thyroid operation with MCD technique may decrease the complications of intraoperative blood loss and postoperative incidence rates of transient recurrent laryngeal nerve palsy and transient hypoparathyroidism.
出处
《江苏医药》
CAS
北大核心
2013年第18期2164-2166,共3页
Jiangsu Medical Journal
