摘要
甲状腺疾病是临床上的常见病,外科手术是主要的治疗方法,目前在各级医院已广泛开展。最早的术式有甲状腺探查术、结节摘除术、腺叶部分切除术,逐渐被甲状腺次全切除术、甲状腺叶切除术、甲状腺近全或全切除术式替代。术式选择个体化,根据国内指南及医生自身专业技术水平,权衡复发及并发症风险,既要避免过度治疗又要防止治疗不达,让病人获益最大化,术式、手术切口和入路选择遵循"功能保护、微创美容"理念。本文就甲状腺手术术式及手术切口与入路选择作一综述。
Thyroid diseases is a common disease. Surgical operation is the main treatment for Thyroid Diseases and it is widely carried out in hospitals of different levels. The early operations including thyroid surgical exploration, nodules resection, glandular lobe resection, were gradually replaced by thyroid lobectomy, thyroid subtotal or total resection surgery. Individualized surgical choice, according to national guidelines and doctors＇ own professional technology level, should weigh the recurrence and the risk of complications, avoid excessive or insufficent treatment, so as to maximize the benefit of patients. The selection of procedure, incision and approach must follow the concept of ＂function protection, minimally invasive beauty＂. This article reviews the progress on the selection of thyroid operative options, incisions and approaches.
出处
《微创医学》
2015年第2期191-194,共4页
Journal of Minimally Invasive Medicine
关键词
甲状腺疾病
手术术式
切口与入路
thyroid Diseases
Surgical options
Incision and approach
Review
