论文部分内容阅读
目的 探讨应用内镜外科技术施行甲状腺手术的可行性及效果。方法 采用颈部无瘢痕内镜甲状腺切除术 (SET )和微创电视辅助甲状腺切除术 (MIVA )。SET切口选择在乳晕上缘、胸骨旁 ,钝性游离胸前和颈前皮下腔隙 ,在内镜下行甲状腺肿瘤或腺体次全切除术。MIVA切口选择在胸骨切迹上 1cm处长约 3cm ,在电视辅助下行甲状腺肿瘤或腺体次全切除术。结果 SET 10例和MIVA 12例全部手术成功 ,无并发症。术后恢复良好 ,无声嘶、呛咳 ,颈部水肿、隆起明显改善。结论 对甲状腺切除手术 ,SET具有明显的美容效果 ,MIVA是一种微创和有效方法。
Objective To explore the feasibility and effect of thyroid surgery with endoscopic surgery. Methods Scarless endoscopic thyroidectomy (SET) and minimally invasive TV-assisted thyroidectomy (MIVA) were used. The SET incision was performed on the upper margin of the areola, parasternal cavity, blunt dissection of the anterior chest and subcutaneous cavity, and subtotal thyroidectomy or subtotal glandectomy. The MIVA incision was chosen to be approximately 3 cm in 1 cm length on the sternal notch and was followed by TV-assisted thyroid tumor or subtotal gland resection. Results All 10 cases of SET and 12 cases of MIVA were successfully operated without complications. He recovered well after surgery, and he had no noise or cough. The edema and swelling of his neck improved significantly. Conclusion SET has obvious cosmetic effects on thyroidectomy. MIVA is a minimally invasive and effective method.