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摘要: 目的:探讨精细囊外解剖法在甲状腺切除手术中的应用。方法:回顾性分析38例(44例次)甲状腺手术中采用精细囊外解剖法保护喉返神经及甲状旁腺。结果:患者术后均无低血钙症发生,明确找到喉返神经;1例患者术后声音嘶哑;其余均无喉返神经损伤。结论:精细囊外解剖法安全有效,值得在甲状腺手术中推广。Abstract: Objective: To explore the application of meticulous capsular dissection techique in thyroidectomy.Method: Fouty four cases of thyroid operation in 38 patients were analyzed retrospectively. Meticulous capsular dissection in thyroidectomy could protect recurrent larygeal nerve and parathroid gland.Result: Of all the 44 cases,no one experienced postoperatively hypocalcemia. The recurrent larygeal nerves were found. No one suffered from laryngeal nerve injury except 1 case with postoperative horseness.Conclusion: The meticulous capsular dissection techique plays a key role in ensuring the safety of thyroidectomy.
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Key words:
- thyroidectomy /
- anatomy /
- recurrent laryngeal nerve
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[1] 陈世彩,郑宏良,周水淼,等.甲状腺手术解剖喉返神经对其损伤的预防应用[J].临床耳鼻咽喉科杂志,2006,20(9):831-833.
[2] 高力,谢磊,叶红学,等.甲状腺全切除或近全切除术治疗180例甲状腺癌的手术体会[J].外科理论与实践,2003,8(4):301-304.
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