经典甲状腺术式手术方法的改进

The improvement of classical thyroid operation.

目的 探讨低位小切口、不断颈前肌群、上极切断后结扎的手术方法对经典甲状腺术式改进的临床价值。方法 对我院 1996年 2月～ 2 0 0 2年 2月收治的 185例甲状腺病人施行低位小切口、不断颈前肌群、上极切断后结扎的改进术式进行分析。结果 全组手术顺利 ,出血少 ,无喉上喉返神经损伤。结论 此方法对于单侧良性甲状腺瘤、双侧良性甲状腺瘤、甲状腺机能亢进、再次手术的甲状腺病人均适用 ,具有减少出血及神经的损伤、创伤小、愈合快 ,并发症减少等优点。

Objective To evaluate the clinical value of the improved operation pattern including low small-incision non-amputation of muscles of anterior neck, and ligature after the amputation of inferior polar thyroid for classical thyroid operation. Methods The improved operational pattern was applied in 185 patients with thyroid diseases during 1996.2～2002.2,and the operational effect was analyzed and evaluated. Results In all cases, the operation was accomplished smoothly without huge amounts of blood losing during the operation, and without any injury of recurrent laryngeal nerve and superior laryngeal nerve. Conclusion The operational pattern can be applied in the patients with benign tumor of the thyroid and hyperthyroidism and reoperation. It has many advantages, such as little trauma, soon recovery, low-operational complications, less amounts of blood losing and no nerve injuries.