甲状腺切除术中带肌侧径路与正中径路应用的比较研究

• 作 者: 廖海星 陈立 王朝晖 李晓江
• 机 构: 四川省肿瘤医院头颈外科,昆明医学院附属医院
• 出 处: 川北医学院学报
• 发表日期: 1997年02期
• 关键词: 甲状腺切除术 带状肌 中径 负压引流量 甲状腺肿块 侧叶 手术径路 切口长度 喉返神经 甲状腺腺体

应用带状肌侧径路及带状肌正中径路完成３６例甲状腺侧叶与腺叶加峡部切除术，两径路组各１８例。带状肌侧径路组肿瘤大于正中径路组（４４ｃｍ±１９２ｃｍ，４．２ｃｍ±１６７ｃｍ，Ｐ＜００５），而切口长度（５５６ｃｍ±１４８ｃｍ，９４７ｃｍ±１７４ｃｍ，Ｐ＜０００１），甲状腺上极显露程度（Ｐ＜０００１），不横断带状肌例数（Ｐ＜０００５），手术时间（８０５６ｍｉｎ±３４２５ｍｉｎ，１４０５６ｍｉｎ±５７７５ｍｉｎ，Ｐ＜０００１），术中出血量（７０５７ｍｌ±６２０７ｍｌ，１６４４４ｍｌ±９８．５３ｍｌ，Ｐ＜０．０１）及术后负压引流量（２２．７８ｍｌ±１８．６５ｍｌ，４１６７ｍｌ±２４５５ｍｌ，Ｐ＜００２）等指标均以带状肌侧径路组为优。文中详细介绍了带状肌侧径路的手术操作，手术要点及其适应症。

Thirty-six cases of thyroid gland lobe and glandular lobes plus isthmus were performed by using the medial path of the zonules and the zonules of the zonules. Eighteen cases were treated by two pathways. The sarcolemmal approach group was larger than the median approach group (44cm ± 192cm, 4.2cm ± 167cm, P <005), while the incision length (556cm ± 148cm, 947cm ± 174cm, P <0001), the degree of thyroid parenchyma (P <0001), the number of non-transverse banding muscles (P <0005), the operation time (8056min ± 3425min , 14056min ± 5775min, P <0001), blood loss (7057ml ± 6207ml, 16444ml ± 98.53ml, P <0.01) and postoperative negative pressure drainage (22.78ml ± 18.65ml, 4167ml ± 2455ml, P <002) and other indicators of the band are the best side-path group. The article details the operation of the strip muscle side pathways, the main points of surgery and its indications.