完全囊外甲状腺切除术的术式探讨

Total extracapsular thyroidectomy:a report of 104 cases

目的探讨完全囊外甲状腺切除的手术技巧。方法回顾性分析 10 4例完全囊外甲状腺切除术的结果。结果 从 1990年 5月至 2 0 0 0年 5月 10年间以完全囊外的入路行甲状腺次全或全切除 10 4例 ,患者无术后危象、术后出血致呼吸道梗阻、永久性甲状旁腺低功等严重并发症 ,仅1例出现暂时性喉返神经麻痹。结论完全囊外甲状腺切除术出血少 ,并发症少 ,安全 ,效果好 ,是理想的手术入路。

Objective To introduce a new extracapsular approach for thyroidectomy in patients with surgical thyroid disease. Method Clinical data of 104 cases undergoing this procedure were retrospectively analyzed. Results From May 1990 to May 2000, 104 patients underwent either total or subtotal thyroidectomy by extracapsular approach. One patient suffered from postoperative temporary recurrent laryngeal nerve palsy. No morbidity such as postoperative thyroid crisis, hemorrhage leading to airway compression, permanent hypoparathyroidism nor mortality developed. Conclusion The total extracapsular approach for thyroidectomy is safe, less of complication and effective.