Academic Journal
内镜甲状腺切除术 ; The experience in laparoscopic thyroidectomy
العنوان: | 内镜甲状腺切除术 ; The experience in laparoscopic thyroidectomy |
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المؤلفون: | 路夷平, 张能维, 鲁瑶, 李长海, 李凯, 王桐生, 刘晨 |
المساهمون: | 北京世纪坛医院北京大学第九临床医学院外科,100038, 北京中日友好医院外科, 北京公安医院外科 |
المصدر: | 万方 ; http://d.g.wanfangdata.com.cn/Periodical_zhptwk200912004.aspx |
بيانات النشر: | 中华普通外科杂志 |
سنة النشر: | 2009 |
المجموعة: | Peking University Institutional Repository (PKU IR) / 北京大学机构知识库 |
مصطلحات موضوعية: | 甲状腺切除术, 甲状腺疾病, 手术后并发症, Thyroidectomy, Thyroid diseases, Postoperative complications |
الوصف: | 目的 探讨内镜甲状腺切除术的手术难点和应对策略.方法 对169例患者施行内镜甲状腺切除术,总结本类手术难点、危险因素及防治措施.结果 内镜甲状腺切除手术成功167例,包括甲状腺腺瘤切除术37例,甲状腺单叶大部分切除术63例,甲状腺双叶大部分切除术42例,甲状腺功能亢进行甲状腺双叶次全切除术20例,甲状腺癌行甲状腺单叶并峡部全切除对侧次全切除术5例.无神经或甲状旁腺损伤等严重并发症.中转开放手术2例,术后切口脂肪液化2例,皮下气肿1例,皮肤淤斑1例,一过性声音嘶哑1例,随访1~4年,复发1例,无死亡病例.结论 内镜甲状腺切除术有其特殊的操作方法和手术难点,通过精细的术中操作和适当的围手术期处理可以降低副损伤的发生率. ; Objective To discuss the operative difficulties and management in laparoscopic thyroidectomy.Method The clinical data of 169 cases undergoing laparoscopic thyroidectomy were retrospectively analyzed.Result Among 169 cases,only 2 cases were switched to open surgery.Among the other 167 cases local thyroidectomy for thyroid adenoma Was performed in 37 cases,one side subtotal thyroidectomy in 63 cases,two side subtotal thyroidectomy in 42 cases,laparoscopic subtotal thyroideetomy was done in 20 cases for Grave's disease,and radical thyroidectomy was undeRaken in 5 cases of thyroid carcinoma.Postoperatively fat colliquation occurred in 2 cases,pneumohypoderma,skin bruise and temporary vocal dullness or hoarsness in 1 each case.There was no postoperative recurrent laryngeal nerve injury,nor that of the parathyroid gland. Conclusions Laparoscopie thyroidectomy has its own intraoperative difficulties. Accurate operative skills and careful perioperative management can decrease the occurrence of complications. ; 中文核心期刊要目总览(PKU) ; 中国科技核心期刊(ISTIC) ; 中国科学引文数据库(CSCD) ; 0 ; 12 ; 969-972 ; 24 |
نوع الوثيقة: | journal/newspaper |
اللغة: | Chinese |
تدمد: | 1007-631X |
Relation: | 中华普通外科杂志.2009,24,(12),969-972.; 1266422; http://hdl.handle.net/20.500.11897/170233 |
DOI: | 10.3760/cma.j.issn.1007-631X.2009.12.005 |
الاتاحة: | https://hdl.handle.net/20.500.11897/170233 https://doi.org/10.3760/cma.j.issn.1007-631X.2009.12.005 |
رقم الانضمام: | edsbas.BF3CDB5F |
قاعدة البيانات: | BASE |
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