局部浸润麻醉甲状腺腺瘤切除术36例临床分析

发布时间：2019-05-05 05:50

【摘要】：目的探讨局部浸润麻醉下小切口甲状腺腺瘤切除术的方法、效果和可行性。方法选择2014-04—2015-04接受局部浸润麻醉下小切口甲状腺腺瘤切除术的36例患者为观察对象。均经术前彩超扫查、术中快速冰冻病理学检查和术后常规病理学检查确诊。回顾性分析患者的临床资料。结果 36例患者均成功完成手术,切口长(4.05±0.36)cm,手术时间(75.31±13.76)min,术中出血量(14.31±5.22)m L。未发生喉返神经损伤、继发出血和甲状旁腺功能低下等并发症。术后未给予甲状腺素治疗,随访6~12个月,切口瘢痕细小且隐蔽在颈横纹内。甲状腺功能正常。结论对经彩超扫查并经术中快速冰冻病理学检查确诊的单发甲状腺腺瘤患者,局部浸润麻醉下实施小切口甲状腺腺瘤切除术,创伤小、并发症少且切口瘢痕细小而隐蔽,疗效肯定。
[Abstract]:Objective to explore the method, effect and feasibility of small incision thyroidectomy under local infiltration anesthesia. Methods Thirty-six patients undergoing small incision thyroidectomy under local infiltration anesthesia were enrolled in this study. All cases were diagnosed by preoperative color Doppler ultrasonography, intraoperative frozen pathological examination and postoperative routine pathological examination. The clinical data of the patients were analyzed retrospectively. Results the length of incision was (4.05 卤0.36) cm, and the operative time was (75.31 卤13.76) min,. The intraoperative bleeding volume was (14.31 卤5.22) m L.. There were no complications such as recurrent laryngeal nerve injury, secondary hemorrhage and hypoparathyroidism. No thyroxine was given after operation. The incision scar was small and concealed in the transverse stria of neck after 6-12-month follow-up. Thyroid function is normal. Conclusion small incision thyroidectomy is performed under local infiltration anesthesia for patients with single thyroid adenoma diagnosed by color Doppler ultrasonography and rapid frozen pathological examination during operation. The results show that the small incision thyroidectomy is less invasive, less complication and smaller and concealed incision scar. The curative effect is definite.
【作者单位】：河南睢县人民医院普外科;
【分类号】：R736.1;R614

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