目的:探讨显露喉返神经在甲状腺腺叶切除术中的意义。
Objective: to study the significance of exposing the recurrent laryngeal nerve during total thyroid lobectomy.
结果甲状腺腺瘤(结节)摘除术20例,单侧甲状腺腺叶切除术6例。
Results There were 20 cases of adenoma (nodule) excision and 6 cases of unilateral lobectomy.
结论:在单侧甲状腺腺叶切除术中显露喉返神经可以有效地防止喉返神经的损伤。
Conclusion: Exposure of the recurrent laryngeal nerve during total unilateral thyroid lobectomy can prevent the damage of the recurrent laryngeal nerve effectively.
另一例采取左侧甲状腺腺叶切除术、气管袖状切除术及左改良根治性颈淋巴结清扫术;
One case underwent left lobar thyroid and circumferential sleeve resection, with left neck modified radical dissection;
目的:对比精确甲状腺腺叶切除术与甲状腺次全切除术喉返神经损伤发生率,探讨精确甲状腺腺叶切除术的安全性。
Objective: to compare the incidence of recurrent laryngeal nerve (RLN) injury of precise thyroid lobectomy and subtotal thyroidectomy, and to assess the safety of precise thyroid lobectomy.
结论:技术改进后的精确甲状腺腺叶切除术,与甲状腺次全切除术相比,在避免喉返神经损伤方面,具有同等的安全性。
Conclusions: Precise thyroid lobectomy after improvements in technique, is as safe as subtotal thyroidectomy in terms of avoiding RLN injury.
结论:单侧腺叶加峡部切除术加或不加颈淋巴结清扫应作为原发灶局限于一侧腺叶的分化型甲状腺癌的首次手术治疗方式。
CONCLUSIONS: Unilateral lobectomy plus isthmectomy with or without cervical lymph node dissection should be recommended as the first treatment for DTC with primary focus localized in unilateral lobe.
结论甲状腺一侧腺叶加峡部切除术可作为甲状腺结节的首选术式。
Conclusion This operational method should be regard as principal choice in treatment of patients with thyroid nodule.
结论甲状腺患侧腺叶加峡部切除术是治疗甲状腺单发结节的安全、有效的理想术式。
Conclusions: Unilateral lobe with isthmus resection is safe and efficient for treating thyroid solitary thyroid nodule.
治疗应选择一侧腺叶全切或次全切除术。
Total thyroidectomy of a lobe or subtotal thyroidectomy was the therapy of choice.
行单侧甲状腺腺叶次全切除术患者为10例。
手术方式主要采取患侧腺叶、峡部切除及对侧腺叶次全切除术。
The main surgical methods are change of side lobus, glandulae thyroideae, excision of thyroid isthmus and excision of the whole side lobus glandulae thyroideae.
手术方式主要采取患侧腺叶、峡部切除及对侧腺叶次全切除术。
The main surgical methods are change of side lobus, glandulae thyroideae, excision of thyroid isthmus and excision of the whole side lobus glandulae thyroideae.
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