解放军医学院学报Issue(11)：1078-1080,1088,4.DOI:10.3969/j.issn.2095-5227.2015.11.005
精细化被膜解剖法在甲状腺再次手术中的应用
Application of meticulous capsular dissection technique in reoperation of thyroid
栾宁 1刁海鑫 1张传海 1邓青先1
作者信息
- 1. 西宁市第三人民医院 普外科，青海西宁 810005
- 折叠
摘要
Abstract
Objective To explore the value of meticulous capsular dissection technique in re-operation of thyroid under benign condition.MethodsFrom March 2009 to December 2014, 88 patients with recurrence after surgery for benign thyroid disorders were treated in our hospital. All cases were divided into two groups: group A (n=42) and group B (n=46). All patients had undergone total thyroidectomy, while patients in group A were treated with traditional surgery and patients in B group were refined by thyroid surgery membrane dissection. The incidence rate of drinking cough, temporary RLNP, permanent recurrent laryngeal nerve injury, temporary hypoparathyroidism and permanent hypoparathyroidism were compared in two groups.Results In group A, 1 case was laryngeal nerve injury, 4 cases were temporary recurrent laryngeal nerve palsy, 1 case was permanent recurrent laryngeal nerve injury, and 9 cases were temporary hypoparathyroidism. In group B, 1 case was laryngeal nerve injury, 2 cases were temporary recurrent laryngeal nerve palsy, 1 case was permanent recurrent laryngeal nerve injury, 2 cases were temporary hypoparathyroidism. Permanent hypoparathyroidism were not found in both groups. Fifteen cases with complications were found in group A (35.7%) and 6 cases with complications were in group B (13%) (P<0.05).Conclusion The meticulous capsular dissection technique indicate lower incidence of postoperative complications than reoperation for benign thyroid disease, which is worthy of clinical popularization and application.关键词
甲状腺良性肿瘤/外科手术/精细化被膜解剖法Key words
benign thyroid tumor/surgical procedure/meticulous capsular dissection technique分类
医药卫生引用本文复制引用
栾宁,刁海鑫,张传海,邓青先..精细化被膜解剖法在甲状腺再次手术中的应用[J].解放军医学院学报,2015,(11):1078-1080,1088,4.
