中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (06): 488-490.

• 论著 • 上一篇    下一篇

锁骨上斜切口侧入路在甲状腺手术中的应用及与传统手术对比研究

陈志强，王 磊，智绪亭，胡三元   

  1. 山东大学齐鲁医院普外科，山东济南 250012
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-06-10 发布日期:2009-06-10

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-06-10 Published:2009-06-10

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摘要：

目的 介绍锁骨上斜切口侧入路行甲状腺切除术的方法，探讨该入路在甲状腺手术中应用的可行性及其价值。 方法 回顾性分析2005年11月至2008年4月山东大学齐鲁医院普外科施行甲状腺切除术172例的临床资料。传统手术组102例，侧入路手术组70例，将两组资料进行对比分析。 结果 两手术组病人在一般资料、麻醉方式、失血量、手术时间、结节大小及术后并发症方面差异无统计学意义；两组的切口长度差异有统计学意义；病人对侧入路手术组切口的美容效果更为满意并愿意接受。 结论 经锁骨上斜切口侧入路行甲状腺切除术是安全可行的，与传统手术相比不增加术中风险及术后并发症发生率，适应证广泛，术后美容效果好。

关键词: 甲状腺切除术, 锁骨上侧入路

Abstract:

Application of supraclavicular lateral collar incision for thyroidectomy: a comparative study with conventional approach CHEN Zhi-qiang, WANG Lei, ZHI Xu-ting, et al. Department of General Surgery, Qilu Hospital of Shandong University, Jinan 250012, China Corresponding author: ZHI Xu-ting, E-mail: zhixuting@hotmail.com Abstract Objective To describe the method of supraclavicular lateral collar incision for thyroidectomy and to conduct a comparative study with conventional thyroidectomy, thus to discuss the safety and feasibility of the new approach for thyroidectomy. Methods The clinical data of 172 cases of thyroidectomy performed from November 2005 to April 2008 at the Department of General Surgery of Qilu Hospital of Shandong University were analyzed retrospectively. All the cases included 70 cases of thyroidectomy with the lateral collar incision and 102 cases of thyroidectomy with the conventional approach. All the data between two groups were compared. Results There was no statistical significance between the two groups in terms of general characteristics, anesthesia, estimated blood loss, operative time, nodule size and postoperative complications, while the statistical difference was significant in terms of incision length. The patients were more satisfied and compatible with the cosmetic appearance of lateral collar incision. Conclusion The supraclavicular lateral collar incision is a feasible and safe approach for thyroidectomy. It holds the advantages of extensive indications, similar complication incidence and operative expenditure compared with conventional approach but achieving a better cosmetic result.

Key words: thyroidectomy, supraclavicular lateral collar approach