经带状肌间入路处理甲状腺上极55例分析

Analysis of superior thyroid pole through the cervical strap muscles approach:A clinical analysis of 55 patients

目的探讨经带状肌间入路处理甲状腺上极的可行性与优势。方法回顾性分析2016年4-10月河南省肿瘤医院甲状腺头颈外科按照颈前带状肌间入路所行的55例(86例次)甲状腺叶切除术病人临床资料,统计术中喉上神经的显露情况以及术后并发症。结果喉上神经外侧支显露率96.5%(83/86)。所有病人均无声音低沉等喉上神经外侧支损伤症状,全组病人无永久性甲状旁腺功能低下发生。结论经颈前带状肌间的自然间隙入路显露上极,能扩大术野,更安全地处理上极,可提高手术的安全性。

Objective To investigate the feasibility and advantages of treatment of the superior thyroid pediclevia the cervical strap muscles approach. Methods The clinical data of 55 patients undergoing thyroidectomy in Henan Cancer Hospital fromApril 2016 toOctober 2016 were reviewedretrospectively. External branch of the superior laryngeal nerve （EBSLN） should be exposed viacervical strap muscles approach. Finally, 55 patients with 86 lobectomies were identified. Results The identification rate of EBSLN was 96.5% （83/86）. All the patients had no voice impairment due to EBSLN injury.No permanent hypoparathyroidism occurred in all patients.Conclusion Via the natural space between the anterior cervical muscles, the superior thyroid pedicle can be exposed completely, which will greatly improve the safety of surgery.