摘要
目的:探讨不伴颈清扫的甲状腺切除术后术腔不放置引流的可行性。方法:连续选取2013-06-2014-06期间我科不伴颈侧清扫的88例甲状腺切除病例,其中甲状腺腺叶切除术42例,甲状腺腺叶加对侧部分切除术17例,甲状腺全切术29例,进行回顾性分析。同时收集2014-01-2014-06期间来我院就诊的15例外院甲状腺手术患者,对术后切口的恢复进行对比。结果:4例胸骨后甲状腺肿切除后出现少量术腔积液,余均未出现术后积液。术后切口的恢复与外院手术组比较,更符合美容原则。结论:对于不伴有选择性颈清扫的甲状腺切除手术,按解剖层次精细操作,术中配以电刀、双极电凝和超声刀的联合应用,彻底止血,这类手术术腔大部分是可不放置引流,同时能增加美容效果。
Objective： To investigate the possibility of thyroidectomy / lobectomy without drainage after surgery. Method： Eighty-eight consecutive cases with thyroid mass have been underwent operations including： lobectomy group（42 cases）, thyroid lobectomy with eontralateral partial thyroidectomy group （17 cases） and total thyroidectomy group （29 cases） from 2013.06 to 2014.06 in Nanjing Tongren Hospital Fifteen patients with thyroid operation in other hospital were collected from 2014.01 to 2014.06,the recovery of postoperative incision were compared. Result：Eighty-four cases were smoothly discharged from hospital except 4 thyroidectomy cases suffered from a small amount of effusion in surgical cavity. Our postoperative wound recovery were more in line with the principle of cosmetology compared with other hospi- tal operation group. Conclusion： Drainage following thyroidectomy is not essential, if the thyroid surgery is meticulous in each step of the surgery, and can increase the effect of beauty.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2015年第2期194-196,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
国家临床重点专科建设单位支持项目(2010)
江苏省临床重点专科建设单位支持项目(2013)
