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目的探讨甲状腺良性肿瘤致腺体Ⅱ°～Ⅲ°肿大时行腺叶切除手术径路方式的选择。方法采用联合入路手术行Ⅱ°～Ⅲ°甲状腺肿腺叶切除术56例,并与同期临床资料相似采用传统手术入路的病例组相比较。结果联合入路组患者平均手术时间为1.6h,术后平均引流量35ml,平均住院时间5.2天,手术后平均随访39个月无喉返神经损伤、甲状旁腺功能低下等并发症出现。与传统入路组相比较,手术时间、术后引流量以及术后并发症发生率均明显降低(P<0.05)。结论联合入路法是甲状腺良性肿瘤致腺体Ⅱ°～Ⅲ°肿大行腺叶切除术的理想手术径路。
Objective To investigate the choice of pathways for lobectomy for benign thyroid gland tumors with enlarged glands Ⅱ ° ~ Ⅲ °. Methods Fifty - six patients with Ⅱ ° ~ Ⅲ ° thyroidectomy underwent combined surgery were compared with the cases with the same clinical data and using the traditional surgical approach. Results The average operation time was 1.6h, the mean drainage time was 35ml and the average hospitalization time was 5.2 days. The mean follow-up time was 39 months without complications of recurrent laryngeal nerve injury and hypoparathyroidism. Compared with the traditional approach group, the operation time, the amount of postoperative drainage and the incidence of postoperative complications were significantly decreased (P <0.05). Conclusions The combined approach is an ideal surgical approach for glandular lobectomy with benign thyroid gland tumor Ⅱ ° ~ Ⅲ °.