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锁骨上斜切口与传统切口在单侧甲状腺手术的临床效果分析

张德言 卢秀波 刘洋 刘征

中国普通外科杂志2011,Vol.20Issue(5):519-522,4.
中国普通外科杂志2011,Vol.20Issue(5):519-522,4.

锁骨上斜切口与传统切口在单侧甲状腺手术的临床效果分析

Comparison of supraclavicular oblique incision with conventional incision approach for unilateral thyroidectomy

张德言 1卢秀波 1刘洋 1刘征1

作者信息

  • 1. 郑州大学第一附属医院,甲状腺外科,河南,郑州,450052
  • 折叠

摘要

Abstract

Objective To explore the feasibility and efficacy of supraclavicular oblique incision approach for unilateral thyroidectomy. Methods The clinical data of 233 patients undergoing unilateral thyroidectomy from September 2009 to July 2010 at our department were analyzed retrospectively. The operation was performed by a supraclavicular oblique incision in 113 patients and by a conventional transverse incision in 120 patients. The preoperative, intraoperative and postoperative data of the two groups were compared and analyzed. Results The average length of incision, operation time, blood loss and postoperative drainage volume of supraclavicular oblique incision group was ( 4.98±0.70 ) cm, ( 68.5 ± 15.2 ) min, ( 15.2 ±8.9 ) mL, (23.7 ± 8. 6 ) mL, respectively, which was significantly less than that of conventional incision group which was (6.03 ±0.82) cm, (79.5 ± 20. 0) min, ( 18.5 ± 12.7) mL and (28.5± 10. 9 ) mL, respectively (P < 0. 01 ). Conclusions Compared with conventional approach, supraclavicular oblique incision for unilateral thyroidectomy has the advantages of shorter incision length and operation time, and less blood loss and postoperative drainage volume. It has better concealing effect and cosmetic result.

关键词

甲状腺切除术/方法/锁骨上斜切口/传统切口/美容效果

Key words

Thyroidectomy/methods/ Supraclavicular Oblique Incision/ Conventional Incision/ Cosmetic Result

分类

医药卫生

引用本文复制引用

张德言,卢秀波,刘洋,刘征..锁骨上斜切口与传统切口在单侧甲状腺手术的临床效果分析[J].中国普通外科杂志,2011,20(5):519-522,4.

中国普通外科杂志

OA北大核心CSCDCSTPCD

1005-6947

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