%0 Journal Article
%T 内镜下胸乳晕径路甲状腺癌手术46例临床观察
%A 何家林
%A 江亮
%A 邓万凯
%A 郑红梅
%A 陈健
%J 肿瘤防治研究
%D 2015
%R 10.3971/j.issn.1000-8578.2015.12.014
%X 摘要 目的 探讨内镜下胸乳晕径路甲状腺癌手术的安全性、有效性和可行性。方法 回顾性分析2011年4月—2015年8月46例内镜下胸乳晕径路甲状腺癌手术病例，对患者一般资料、手术方式及技巧、手术时间、出血量、引流时间、引流量和术后并发症等情况进行总结。结果 46例患者均顺利完成内镜下手术，其中选择腺叶及峡部切除术9例，一侧腺叶及峡部切除+对侧部分或大部切除术28例，全甲状腺切除术9例；中央区淋巴结清除术21例；结节平均最大直径为（1.63±0.75）cm；手术平均时间为（108.15±32.60）min；术中平均出血量为（34.46±18.42）ml；术后平均引流总量为（157.41±103.45）ml；术后平均引流时间为（3.52±0.94）天；术后3例出现一过性声嘶；术中皮肤烫伤和术后感染各1例；术后病理标本见甲状旁腺者9例，无永久性低钙抽搐病例；术后病理见中央区淋巴结转移8例；术中快速病理未能明确诊断4例，其中1例行开放二次手术；随访0~48月，期间未见肿瘤复发和转移病例。结论 内镜下胸乳晕径路甲状腺癌手术是可选择的手术方式，美容和近期效果满意，但病例选择和术中操作需谨慎
%K 胸乳晕径路
%K 内镜
%K 甲状腺癌
%K 手术方式
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%U http://www.zlfzyj.com/CN/abstract/abstract8662.shtml