经口腔前庭入路腔镜甲状腺手术15例临床分析
Chinese Journal of Current Advances in General Surgery（2020）
Abstract
目的:总结介绍经口腔前庭入路腔镜甲状腺手术经验.方法:2018年1月—2019年12月,经口腔前庭入路腔镜甲状腺手术15例,分析其临床病理特征、围手术期处理、手术范围、手术时间及并发症.结果:15例患者均为单侧病变,其中良性肿瘤5例,最大径5cm,均行单侧甲状腺次全切除,平均手术时间(146±34)min;甲状腺微小乳头状癌10例,右侧8例,左侧2例,均行单侧甲状腺腺叶切除并同侧中央区清扫淋巴结,平均手术时间(187±36)min,平均清扫淋巴结数目(7.1±2.3)枚,淋巴结转移率为40％(4/10).无中转手术,无术后出血及二次手术.2例术后出现颏部、口唇麻木,1例暂时性喉返神经麻痹,均自行恢复.随访时间1～22个月,未见种植、复发、转移.结论:经口腔前庭入路腔镜下甲状腺手术安全可行,术后体表无瘢痕,美容效果好.手术适应证选择、严格的术前准备和手术技巧的把握是治疗成功的关键.
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