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目的观察低领小弧形切口对一侧甲状腺肿物行患侧腺叶切除加峡部切除术,能否达到术中术野显露充分、手术安全、手术时间短、术后切口低小及美学效果好的效果。方法采用2~4 cm低领小弧形切口对293例一侧甲状腺肿物患者行患侧腺叶切除加峡部切除术。结果293例患者手术过程顺利,术野、喉返神经及甲状旁腺显露充分,手术时间平均51.4 min(最短30 min,最长80 min),术中出血量平均15 ml(最少5 ml,最多80 ml),术后切口均一期愈合,5~7 d出院。切口低小且易被衣领遮盖,美学效果较好。所有患者经随访2个月~5年,均未见肿瘤复发。结论甲状腺单侧肿物采用低领小弧形切口施行单侧腺叶切除加峡部切除具有术野显露充分,手术时间短,手术安全,术后切口低小易被衣领遮盖,美学效果好的优点,较适合中青年女性。
Objective To observe whether the low-necked and small-arc incision is performed on the side of the thyroid gland to remove the unilateral thyroidectomy and the isthmectomy. Is it possible to achieve adequate surgical field exposure, safe operation, short operation time, low postoperative incision, and aesthetic effects? Good results. Methods Two to four cm low-necked small incisions were used to perform unilateral lobectomy plus isthmectomy in 293 patients with one-sided goiter. Results The operation of 293 patients was successful. The operative field, recurrent laryngeal nerve, and parathyroid glands were fully exposed. The average operation time was 51.4 minutes (minimum 30 minutes and maximum 80 minutes). The average blood loss was 15 ml (minimum 5 ml, maximum 80 ml). All incisions healed at one time and were discharged 5 to 7 days later. The incision is small and easily covered by the collar, and the aesthetic effect is better. All patients were followed up for 2 months to 5 years. No tumor recurrence was found. Conclusion The unilateral thyroid tumor with low-necked and small arc incision for unilateral lobectomy plus isthmic resection has sufficient surgical field exposure, short operation time and safe operation. The postoperative incision is low and easy to be covered by the collar, and the aesthetic effect is good. The advantages are more suitable for young and middle-aged women.