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目的探讨精细化被膜解剖法在甲状腺肿瘤手术中临床应用的意义。方法 2007-01～2010-12月实施精细化被膜解剖法治疗甲状腺肿瘤患者29例,对其临床资料进行分析总结。结果 29例患者男性7人,平均年龄49岁,女性22人,平均年龄44岁。手术过程均顺利,仅3例未明确寻找出喉返神经,其中1例术后第2天出现声嘶,渐加重,术后4 d喉镜检查发现术侧声带固定,术后1月伤口肿胀消退后声嘶恢复,其余病例均无喉返神经损伤。术后所有病例均无低钙血症出现。结论在甲状腺肿瘤手术中熟练应用精细化被膜解剖法,可显著降低手术并发症,是非常安全、有效的手术方法,值得推广。
Objective To investigate the clinical application of fine dissection in thyroid tumors. Methods From January 2007 to December 2010, 29 patients with thyroid neoplasm were treated by fine dissection method. The clinical data were analyzed and summarized. Results 29 patients, 7 males, mean age 49 years old, 22 females, average age 44 years old. Surgical procedures were smooth, only 3 cases did not clearly find the recurrent laryngeal nerve, including 1 cases of hoarseness after the first 2 days, gradually heavier, laryngoscopy 4 days after surgery to find the side of the vocal cord fixed postoperative wound swelling in January After the disappearance of hoarseness recovery, the rest of the cases without recurrent laryngeal nerve injury. No cases of hypocalcemia after surgery. Conclusion It is a safe and effective surgical method to finely dissect the surgical complications in patients with thyroid tumors. It is worth popularizing.