| 腔镜甲状腺手术:附42例报告 |
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| 引用本文： | 张建文,罗一民,方力. 腔镜甲状腺手术:附42例报告[J]. 中国普通外科杂志, 2004, 13(11): 837-839 |
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| 作者姓名： | 张建文 罗一民 方力 |
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| 作者单位： | 湖南省郴州市第一人民医院,外科,湖南,郴州,423000 |
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| 摘 要： | 目的 探讨腔镜甲状腺手术的可行性和手术方法。方法 对 42例各种甲状腺疾患患者采用腔镜手术治疗的临床资料进行回顾性分析。结果 手术成功 41例 ,因术中渗血不止中转手术 1例。 1例术后前胸出现小面积淤斑 ;1例出现声音嘶哑 ,3d后恢复 ;无甲状旁腺损伤 ;无皮下积气。颈前引流管于术后 2 4h拨除 ,术后 5d出院。结论 掌握腔镜甲状腺手术的指征 ,精细操作 ,采用腔镜手术治疗甲状腺疾患是安全可行的 ,且具有较好的美容效果
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| 关 键 词： | 甲状腺切除术 内窥镜术 |
| 文章编号： | 1005-6947(2004)11-0837-03 |
| 修稿时间： | 2004-03-29 |
Endoscopic thryoid surgery:a report of 42 cases |
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| ZHANG Jian-wen,LUO Yi-min,FANG Li. Endoscopic thryoid surgery:a report of 42 cases[J]. Chinese Journal of General Surgery, 2004, 13(11): 837-839 |
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| Authors: | ZHANG Jian-wen LUO Yi-min FANG Li |
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| Abstract: | Objective To explore the feasibility and operation technique of endoscopic thyroid surgery. Methods A retrospective analysis was made on the clinical data of 42 patients with various thyroid diseases who were treated by endoscopic thyroidectomy.Results 41 cases were successful,1 case was converted to open operation because of operative bleeding. One case had a small area of ecchymosis in the presternal skin postoperatively, and 1 with hoarseness that recovered 3d after operation.No case of parathyroid injury or subcutaneous emphysema.The anterior cervical drain was removed 24h after operation, and patients were discharged 5d after operation.Conclusions With adherence to the indications of endoscopic thyroidectomy and operating with fine technique , endoscopic thyroidectomy is safe for the treatment of patients with thyroid disease and has a more favorable cosmetic effect. |
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| Keywords: | THYRVIDECTOMY ENDOSCOPY |
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