甲状腺和甲状旁腺肿瘤内镜辅助及内镜手术治疗
发布时间：2018-12-12 02:33
【摘要】：甲状腺和甲状旁腺肿瘤是头颈部常见的肿瘤之一,手术是其主要治疗方法。随着微创外科和微创思潮的发展及患者对美容要求的提高,微创外科的技术及观念已渗透到甲状(旁)腺外科领域,内镜甲状(旁)腺切除术应运而生。与传统开放甲状腺手术相比内镜甲状(旁)腺切除术具有手术切口小,术后疼痛轻,美容效果好等优势,而且能达到与开放手术相同的治疗效果,但内镜下甲状(旁)腺切除术的学习曲线相对于传统开放手术要长。自第一例颈部内镜手术报道以来,各种各样的手术入路先后被尝试,形成了多元化的手术入路方式。每种手术入路有其各自的手术适应症、禁忌症、优势和不足,但这些手术入路的共同目的是获得美观效果或减少手术创伤。随着内镜甲状(旁)腺切除术的广泛应用和快速发展,手术适应症也随着技术的发展不断扩大,并发症发生率越来越低。选择合理的手术术式,遵循手术的适应症和禁忌症,严格把握患者的准入原则,内镜甲状(旁)腺切除术可以成为一种安全、有效、可行的治疗甲状腺和甲状旁腺肿瘤的方法。内镜甲状(旁)腺切除术就其美容效果佳、缺陷少等优势已经引起了业内相关人士的广泛兴趣和关注。
[Abstract]:Thyroid and parathyroid neoplasms are one of the most common tumors in the head and neck. With the development of minimally invasive surgery, minimally invasive surgery and the improvement of patients' aesthetic requirements, the techniques and concepts of minimally invasive surgery have penetrated into the field of thyroid (paraspinal) gland surgery, and endoscopic thyroidectomy has emerged as the times require. Compared with the traditional open thyroid surgery, endoscopic thyroidectomy has the advantages of less incision, less postoperative pain, better cosmetic effect, and can achieve the same therapeutic effect as open surgery. But endoscopic thyroidectomy has a longer learning curve than traditional open surgery. Since the first endoscopic cervical surgery was reported, a variety of surgical approaches have been attempted, forming a variety of surgical approaches. Each approach has its own indications contraindications advantages and disadvantages but the common purpose of these approaches is to achieve aesthetic results or reduce surgical trauma. With the wide application and rapid development of endoscopic thyroidectomy, the operative indications are expanding with the development of technology, and the incidence of complications is becoming lower and lower. It is safe, effective and feasible to use endoscopic thyroidectomy to treat thyroid and parathyroid tumors. Endoscopic thyroidectomy has attracted wide attention for its advantages of good cosmetic effect and less defects.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R736
本文编号：2373732
[Abstract]:Thyroid and parathyroid neoplasms are one of the most common tumors in the head and neck. With the development of minimally invasive surgery, minimally invasive surgery and the improvement of patients' aesthetic requirements, the techniques and concepts of minimally invasive surgery have penetrated into the field of thyroid (paraspinal) gland surgery, and endoscopic thyroidectomy has emerged as the times require. Compared with the traditional open thyroid surgery, endoscopic thyroidectomy has the advantages of less incision, less postoperative pain, better cosmetic effect, and can achieve the same therapeutic effect as open surgery. But endoscopic thyroidectomy has a longer learning curve than traditional open surgery. Since the first endoscopic cervical surgery was reported, a variety of surgical approaches have been attempted, forming a variety of surgical approaches. Each approach has its own indications contraindications advantages and disadvantages but the common purpose of these approaches is to achieve aesthetic results or reduce surgical trauma. With the wide application and rapid development of endoscopic thyroidectomy, the operative indications are expanding with the development of technology, and the incidence of complications is becoming lower and lower. It is safe, effective and feasible to use endoscopic thyroidectomy to treat thyroid and parathyroid tumors. Endoscopic thyroidectomy has attracted wide attention for its advantages of good cosmetic effect and less defects.
【学位授予单位】：河北医科大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R736
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