甲状腺腺叶切除的手术探讨

• 作 者: 杨富斌 任书伟 汪桂清
• 机 构: 信阳市中心医院肿瘤外科!河南信阳464000,信阳市中心医院肿瘤外科!河南信阳464000,信阳市中心医院肿瘤外科!河南信阳464000
• 出 处: 河南肿瘤学杂志
• 发表日期: 2000年06期
• 关键词: 甲状腺腺叶切除 甲状腺肿瘤 喉返神经 喉上神经损伤 一侧腺叶切除 甲状腺单发结节 甲状腺 手术 甲状腺中静脉 颈部

目的　探讨甲状腺腺叶切除的合理手术方法。方法　对 3 10例甲状腺单发结节行一侧腺叶切除术后进行临床分析。结果　本组仅 3例出现了喉上神经损伤 ,绝大多数病例均获得了良好的手术效果。结论　施行甲状腺腺叶切除术时要熟练掌握颈部的局部解剖 ,术中常规显露患侧喉返神经 ,完整地切除患侧腺叶 ,如此可最大限度地减低手术并发症 ,减少肿瘤局部复发。

Objective To investigate the reasonable operation method of thyroid gland lobectomy. Methods A total of 310 thyroid solitary thyroid nodules underwent lateral gland lobectomy for clinical analysis. Results In this group, only 3 cases had laryngeal nerve injury, and the vast majority of cases achieved good surgical results. Conclusions The local anatomy of the neck should be mastered during thyroidectomy. Intraoperative recurrent laryngeal nerve is usually revealed and the ipsilateral lobes are completely removed. This can minimize the complications and reduce the local recurrence.