改进法甲状腺叶切除术(附360例报告)

Chinese Journal of Practical Surgery ›› 2010, Vol. 30 ›› Issue (10) : 876-879.

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Chinese Journal of Practical Surgery ›› 2010, Vol. 30 ›› Issue (10) : 876-879.
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Abstract

Modified thyroid lobectomy:360 cases report        LIU Quan-fang ,YAO Yuan , HUANG Chi-ming ,et al. Department of General Surgery,Guangdong Provincial People’s Hospital, Guangzhou 510080,China
Corresponding author :LIU Quan-fang , E-mail: doc.liuquanfang @163.com
Abstract    Objective    To explore the feasibility of thyroid surgery mainly composed of modified thyroid lobectomy with the purpose of averting superior laryngeal nerve,exposing recurrent laryngeal nerve and preserving parathyroid gland. Methods    This retrospective review analyzed the clinical data of 360 cases of thyroid surgery mainly composed of modified thyroid lobectomy in Guangdong Provincial People’s  Hospital from Dec 2004 to June 2009. Results    360 cases of thyroid surgery including 411 sides of modified thyroid lobectomy was performed on the basis of eradicating lesion,thyroid function was preserved to the greatest extent, exposing rate of recurrent laryngeal nerve was 100%, a total of 543 parathyroid glands was preserved (average 1.32 parathyroid gland per lobe),no relative complications such as injuries of superior laryngeal nerve,recurrent laryngeal nerve and parathyroid gland were followed. Conclusion    Thyroid surgery mainly composed of modified thyroid lobectomy might preserve thyroid function to the greatest extent,decrease all kinds of complications relating to thyroid surgery,and reduce postoperative recurrence.

Key words

modified thyroid lobectomy;thyroid function;injury of superior laryngeal nerve / injury of recurrent laryngeal nerve;injury of parathyroid gland

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