中国实用外科杂志

中国实用外科杂志

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经带状肌间入路处理甲状腺上极55例分析

王    超，张松涛，翟翼飞，黑    虎，李    闯，周    斌，秦建武   

  1. 郑州大学附属肿瘤医院  河南省肿瘤医院甲状腺头颈外科，河南郑州450000
  • 出版日期:2017-09-01 发布日期:2017-09-05

  • Online:2017-09-01 Published:2017-09-05

摘要：

目的    探讨经带状肌间入路处理甲状腺上极的可行性与优势。方法    回顾性分析2016年4-10月河南省肿瘤医院甲状腺头颈外科按照颈前带状肌间入路所行的55例（86例次）甲状腺叶切除术病人临床资料，统计术中喉上神经的显露情况以及术后并发症。结果    喉上神经外侧支显露率96.5%（83/86）。所有病人均无声音低沉等喉上神经外侧支损伤症状，全组病人无永久性甲状旁腺功能低下发生。结论    经颈前带状肌间的自然间隙入路显露上极，能扩大术野，更安全地处理上极，可提高手术的安全性。

关键词: 甲状腺切除术, 喉上神经, 甲状旁腺, 带状肌间入路

Abstract:

Analysis of superior thyroid pole through the cervical strap muscles approach：A clinical analysis of 55 patients        WANG Chao, ZHANG Song-tao, ZHAI Yi-fei, et al. Department of Thyroid，Head and Neck Surgery, Tumor Hospital Affiliated to Zhengzhou University; Henan Cancer Hospital，Zhengzhou 450000, China
Corresponding author: QIN Jian-wu, E-mail：qinjianwu62@163.com
Abstract    Objective    To investigate the feasibility and advantages of treatment of the superior thyroid pediclevia the cervical strap muscles approach.  Methods    The clinical data of 55 patients undergoing thyroidectomy in Henan Cancer Hospital fromApril 2016 toOctober 2016 were reviewedretrospectively. External branch of the superior laryngeal nerve （EBSLN） should be exposed viacervical strap muscles approach. Finally， 55 patients with 86 lobectomies were identified. Results The identification rate of EBSLN was 96.5% （83/86）. All the patients had no voice impairment due to EBSLN injury.No permanent hypoparathyroidism occurred in all patients.Conclusion    Via the natural space between the anterior cervical muscles， the superior thyroid pedicle can be exposed completely，which will greatly improve the safety of surgery.

Key words: thyroidectomy, superior laryngeal nerve, parathyroid, through the cervical strap muscles approach