甲状腺手术中新技术的合理应用及展望

Reasonable application and prospect of new technology in treatment of thyroid disease

随着医学科学的进步,甲状腺外科技术出现了跨越式发展,手术疗效也愈发苛求完美。神经监测技术的应用使甲状腺手术更加精细化,显著提高了手术安全性和手术效率。应用纳米碳甲状旁腺负显影技术能够更加精确辨识出甲状旁腺,同时其还有淋巴结示踪效果,可清扫更多的转移淋巴结,提高了手术疗效。腔镜和机器人甲状腺手术在达到传统开放手术同等疗效的同时还实现了颈部无瘢痕美容效果,给有美容需求的病人提供了新的选择。外科能量器械的不断改进和应用,使手术操作更加高效。甲状旁腺自体移植技术的应用,可更好地实现甲状旁腺功能保护目的。外科医生对于新技术的使用应遵循"合理选择、规范应用"的原则,全面掌握新设备、新技术的原理及应用技巧、优势和不足,确保新技术应用更加安全合理,才能最终使广大病人获益。

With the progress of medicine,more and more new technologies are applied to the diagnosis and treatment of diseases. Thyroid surgery technology has also developed leaps and bounds. Surgeons have more perfect requirements for surgical treatment.The application of nerve monitoring technology has made thyroid surgery more refined and significantly improved the safety and efficiency of operation. The nano-carbon parathyroid gland negative imaging technology could identify parathyroid gland more precise, and it also has the lymph node tracer effect, which can guide the surgeon to clean up more lymph nodes and improve the operation effect.Emloscopic and robotic thyroid surgery can achieve the same curative effect as the traditional open operation. Furthermore, it also achieve the neck scarless cosmetic effect. It provides a new choice for patients with cosmetic needs. The continuous improvement and application of energy surgical instruments make the operation more efficient The application of autologous transplantation of parathyroid glands can better achieve the purpose of protecting the function of parathyroid glands. Surgeons should follow the principle of ＂rational selection and standard application＂ for the use of new technology, grasp the working principle and application skills of new technology in clinical work, clear its advantages and disadvantages, to ensure that the application of new technology is more safe and reasonable, and can bring benefit to the patient finally.