经胸锁乳突肌前缘入路甲状腺切除手术的临床研究

Clinical experience of sternocleidomastoid leading edge approach of thyroidectomy

目的 探讨经胸锁乳突肌前缘入路进行甲状腺切除手术的效果.方法 选取2010年12月～2012年6月甲状腺肿瘤患者98例,随机分为两组.观察组采用经胸锁乳突肌前缘入路甲状腺切除手术,对照组采用传统的经颈白线入路切除.观察两组患者的手术疗效及术后相关指标.结果 观察组手术时间45～130 min,术中出血10～100 mL,引流量15～30 mL,住院时间3～6 d;与对照组相比,差异有统计学意义（P＜0.05）.且颈部功能恢复、颈部术口美观情况优于对照组（P＜0.05）.结论 行胸锁乳突肌前缘径路甲状腺切除术暴露充分,操作方便,可减少出血及喉返神经损伤,且具有达到美观要求等优点.

Objective To study the effect and clinical experience of sternocleidomastoid leading edge approach of thy- roidectomy. Methods A total of 98 cases of thyroid cancer according to the principle of randomized controlled clinical research were divided into two groups. Observation group treated with sternocleidomastoid leading edge in the thyroid surgery, and the control group used the traditional white line in the jugular resection. The operative efficacy of two groups of patients, as well as the related items were analyzed. Results Surgery went well in both groups, without mas- sive hemorrhage and recurrent laryngeal nerve injury. Observation operative time 45 to 130 min, blood loss was 10 to 100 mL, drainage volume 15 to 30 mL; hospitalization 3 to 6 d. Compared with control group,the differences were sta- tistically significant （P〈0.05）. And functional recovery of the neck,mouth and neck surgery were better than the control group （P〈0.05）. Conclusion For the anterior border of the sternocleidomastoid muscle path thyroidectomy is fully ex- posed ,easy to operate ,can reduce bleeding and injury of the recurrent laryngeal nerve, and to achieve the aesthetic re- quirements.