甲状腺手术后不置引流的技术探讨

张海东; 龚单春; 张庆翔; 刘亚群; 于振坤

doi:10.13201/j.issn.1001-1781.2015.02.029

甲状腺手术后不置引流的技术探讨

- 东南大学医学院附属南京同仁医院耳鼻咽喉-头颈外科(南京, 211100)
基金项目:
国家临床重点专科建设单位支持项目(2010)

江苏省临床重点专科建设单位支持项目(2013)

详细信息

通讯作者: 于振坤,E-mail:yuzk@njtrh.org

中图分类号: R736.1

收稿日期: 2014-07-16

Thyroid operation after the discussion on drainage technology

- Department of Otolaryngology-Head and Neck Surgery, Nanjing Tongren Hospital Affiliated to Medical College of Southeast University, Nanjing, 211100, China

More Information

Corresponding author: YU Zhenkun, E-mail: yuzk@njtrh.org

Received Date: 16 July 2014

摘要

摘要: 目的:探讨不伴颈清扫的甲状腺切除术后术腔不放置引流的可行性。方法:连续选取2013-06-2014-06期间我科不伴颈侧清扫的88例甲状腺切除病例,其中甲状腺腺叶切除术42例,甲状腺腺叶加对侧部分切除术17例,甲状腺全切术29例,进行回顾性分析。同时收集2014-01-2014-06期间来我院就诊的15例外院甲状腺手术患者,对术后切口的恢复进行对比。结果:4例胸骨后甲状腺肿切除后出现少量术腔积液,余均未出现术后积液。术后切口的恢复与外院手术组比较,更符合美容原则。结论:对于不伴有选择性颈清扫的甲状腺切除手术,按解剖层次精细操作,术中配以电刀、双极电凝和超声刀的联合应用,彻底止血,这类手术术腔大部分是可不放置引流,同时能增加美容效果。
- 甲状腺切除术 /
- 引流
Abstract: Objective: To investigate the possibility of thyroidectomy / lobectomy without drainage after surgery. Method: Eighty-eight consecutive cases with thyroid mass have been underwent operations including: lobectomy group(42 cases), thyroid lobectomy with contralateral partial thyroidectomy group (17 cases) and total thyroidectomy group (29 cases) from 2013.06 to 2014.06 in Nanjing Tongren Hospital. FIfteen patients with thyroid operation in other hospital were collected from 2014.01 to 2014.06,the recovery of postoperative incision were compared. Result: Eighty-four cases were smoothly discharged from hospital except 4 thyroidectomy cases suffered from a small amount of effusion in surgical cavity. Our postoperative wound recovery were more in line with the principle of cosmetology compared with other hospital operation group.Conclusion: Drainage following thyroidectomy is not essential, if the thyroid surgery is meticulous in each step of the surgery, and can increase the effect of beauty.
- thyroidectomy /
- drainage

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参考文献(6)

[1]	JEMAL A,SIEGEL R,WARD E, et al.Cancer statistics,2009[J]. CA Cancer J Clin. 2009,59:225-249.
[2]	COOPER D S, DOHERTY G M, HAUGEN B R,et al. Revised American Thyroid Association management guidelines for patients with thyroid nodules and differentiated thyroid cancer[J].Thyroid,2009,19:1167-1214.
[3]	中华医学会内分泌学分会,中华医学会外科学分会,中国抗癌协会头颈肿瘤专业委员会等.甲状腺结节和分化型甲状腺癌诊治指南[J].中国肿瘤临床,2012,39(17):1249-1272.
[4]	ZIV G,SNEHAL G P.甲状腺癌手术-Memorial Sloan-Kettering Cancer center经验(一)[J].李平栋,于振坤,译.中华耳鼻咽喉头颈外科杂志,2011,46(9):787-791.
[5]	LEE H S, LEE B J, KIM S W,et al. Patterns of Post-thyroidectomy Hemorrhage[J]. Clin Exp Otorhinolaryngol,2009,2:72-77.
[6]	ZIV G,SNEHAL G P.甲状腺癌手术-Memorial Sloan-Kettering Cancer center经验(二)[J].李平栋,于振坤,译.中华耳鼻咽喉头颈外科杂志,2011,46(10):877-880.