Clinical Analysis of Improving Thyroidectomy Via Isthmus_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

郑炳行 , 师天雄 , 邓建伟

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Keywords：

甲状腺手术; 峡部径路

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目的探讨经峡部径路行甲状腺手术的优、缺点。
方法回顾性总结分析近8年来我院收治的1 699例患者经峡部径路行甲状腺手术的临床资料。
结果该术式术野暴露充分，手术时间平均65 min，术中出血量平均50 ｍl。术后喉返神经损伤8例(均为单侧)，68例术后出现短暂性低钙血症，3例术后出血，其中2例发生于术后2 h，出血量200 ml, 行手术止血； 1例发生于术后1 h，出血量100 ml，给予压迫止血和药物止血后，出血停止，余恢复均好。
结论经峡部径路行甲状腺手术，能开阔术野和拓宽手术空间，能立即解除患者颈部紧缩感，保持术野清晰，减少术中出血和喉返神经损伤，减少低钙血症及继发性甲状腺功能低下，避免术后呼吸困难、窒息等并发症的发生。

Citation： 郑炳行,师天雄,邓建伟. Clinical Analysis of Improving Thyroidectomy Via Isthmus. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2006, 13(3): 263-264. doi: Copy

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1.
2. [Ｊ]. Laryngoscope， 2002； 112(1)∶124.
3.
4. [Ｊ].J Otolaryngol, 2001; 30(5)∶266.
5.
6. [Ｊ].Arch Otolaryngol Head Neck Surg， 2002; 128(4)∶389.
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9. 彭裕文，主编．局部解剖学 [M]. 第5版．北京：人民卫生出版社， 2001∶38~39.
10. Steurer M, Passler C, Denk DM, et al. Advantages of recurrent laryngeal nerve identification in thyroidectomy and parathyroidectomy and the importance of preoperative and postoperative laryngoscopic examination in more than 1 000 nerves at risk.
11. Moore C, Lampe H, Agrawal S. Predictability of hypocalcemia using early postoperative serum calcium levels.
12. Bhattacharyya N, Fried MP.　 Assessment of the morbidity and complications of total thyroidectomy.
13. Pelizzo MR, Toniato A, Piotto A, et al. Prevention and treatment of intraand postoperative complications in thyroid surgery.
14. 王大玖，主编．局部实用外科手术解剖学 [M]. 第5版．北京：人民卫生出版社， 1972∶145~146.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Clinical Analysis of Improving Thyroidectomy Via Isthmus

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