【摘要】：甲狀腺和甲狀旁腺腫瘤是頭頸部常見的腫瘤之一,手術(shù)是其主要治療方法。隨著微創(chuàng)外科和微創(chuàng)思潮的發(fā)展及患者對(duì)美容要求的提高,微創(chuàng)外科的技術(shù)及觀念已滲透到甲狀(旁)腺外科領(lǐng)域,內(nèi)鏡甲狀(旁)腺切除術(shù)應(yīng)運(yùn)而生。與傳統(tǒng)開放甲狀腺手術(shù)相比內(nèi)鏡甲狀(旁)腺切除術(shù)具有手術(shù)切口小,術(shù)后疼痛輕,美容效果好等優(yōu)勢(shì),而且能達(dá)到與開放手術(shù)相同的治療效果,但內(nèi)鏡下甲狀(旁)腺切除術(shù)的學(xué)習(xí)曲線相對(duì)于傳統(tǒng)開放手術(shù)要長(zhǎng)。自第一例頸部?jī)?nèi)鏡手術(shù)報(bào)道以來(lái),各種各樣的手術(shù)入路先后被嘗試,形成了多元化的手術(shù)入路方式。每種手術(shù)入路有其各自的手術(shù)適應(yīng)癥、禁忌癥、優(yōu)勢(shì)和不足,但這些手術(shù)入路的共同目的是獲得美觀效果或減少手術(shù)創(chuàng)傷。隨著內(nèi)鏡甲狀(旁)腺切除術(shù)的廣泛應(yīng)用和快速發(fā)展,手術(shù)適應(yīng)癥也隨著技術(shù)的發(fā)展不斷擴(kuò)大,并發(fā)癥發(fā)生率越來(lái)越低。選擇合理的手術(shù)術(shù)式,遵循手術(shù)的適應(yīng)癥和禁忌癥,嚴(yán)格把握患者的準(zhǔn)入原則,內(nèi)鏡甲狀(旁)腺切除術(shù)可以成為一種安全、有效、可行的治療甲狀腺和甲狀旁腺腫瘤的方法。內(nèi)鏡甲狀(旁)腺切除術(shù)就其美容效果佳、缺陷少等優(yōu)勢(shì)已經(jīng)引起了業(yè)內(nèi)相關(guān)人士的廣泛興趣和關(guān)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.
【學(xué)位授予單位】：河北醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R736

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