摘要
目的探索甲状腺大部分切除术无血术野技术。方法自1998—2006年行甲状腺大部分切除术492例，进行临床分析，总结手术技巧：凭借术中电刀的使用技巧，改进切口及皮瓣分离，充分的甲状腺暴露，正确的甲状腺上下极血管处理，恰当的喉返神经、喉上神经、甲状旁腺的保护措施等促成甲状腺大部分切除术中的无血术野。结果术野无血的甲状腺大部分切除术术中、术后并发症的发生率较低。结论先进器械的使用、操作的技巧、技术的改进等促成了甲状腺大部分切除术无血术野技术．减少了术后并发症的发生。
Objective To study the bloodless operative field technique in thyroidectomy. Methods Operation skills were analyzed in 492 cases with thyroidectomy during 1998 to 2006. It was found that the bloodless operative field during thyroidectomy under electrosurgical unit technique was due to improving incision, isolating flap, fully exposing thyroid, perfectly handling the upper and lower pole vessels of thyroid and protective measures for recurrent laryngeal nerve, superior laryngeal nerve and parathyroid glands. Results There is a lower incidence of complications during and post thyroidectomy with bloodless operative field. Conclusion Advanced instruments, operation skills and improvement of techniques are contributed to bloodless operative field technique in thyroidectomy and they thus may depress the occurrence of postoperative complications.
出处
《临床和实验医学杂志》
2008年第10期44-45,共2页
Journal of Clinical and Experimental Medicine
