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目的分析改良腔镜下甲状腺良性肿瘤切除术的临床疗效。方法采用改良腔镜下甲状腺良性肿瘤切除术治疗26例甲状腺良性肿瘤患者，手术方式包括甲状腺部分切除术、甲状腺次全切除术、甲状腺腺叶或腺叶峡部切除术以及双侧甲状腺切除术等。改良术式利用trocar经各切口建立隧道交会于胸壁上部空间。结果26例患者均顺利完成腔镜手术，手术时间45～110 min，平均65.6 min，术中出血量5～20 mL，平均10.3 mL，病检提示良性肿瘤，术后引流管在1～2 d拔除，术后住院3～7 d，无严重并发症发生。结论改良腔镜下甲状腺良性肿瘤切除术安全可行，具有创伤小、美容效果好的特点，值得临床推广。
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临床研究
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更新时间：2016-01-12
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改良腔镜下甲状腺良性肿瘤切除术的临床研究
Clinical study of modified endoscopic resection on the treatment of thyroid benign tumor
微创医学 201506期 页码：782-784
作者机构：江苏省金湖县人民医院普外科，金湖县211600
基金信息：作者简介：郁飞（1981～），男，硕士，主治医师，研究方向：微创外科。
- 中文简介
- 英文简介
- 参考文献
ObjectiveTo analyze the clinical of modified endoscopic resection on the treatment of thyroid benign tumor. MethodsModified laparoscopic surgeries, including partal throidectomy, subtotal thyroidectomy, thyroid lobectomy, isthmic resection, and bilateral thyroidectomy, were used in 26 patients with benign thyroid tumor. ResultsAll the procedures were completed successfully. The operation time was 45-110 min, with an average of 65.6 min. The intraoperative blood loss was 5-20 mL, with an average of 10.3 mL. Pathological examination revealed that all the tumors were benign thyroid tumors. The drainage tube was extracted at 1-2 d after operation. Post-operation hospital stay was 3-7 d. There was no serious complication occurred. ConclusionModified endoscopic thyroidectomy is a safe and feasible approach with less trama and better cosmetic result, which is worthy of clinical promotion.
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