The advantage analysis of anterior cervical muscle group approach at sternal end transection in removal of bilateral huge thyroid neoplasm
10.3760/cma.j.issn.1673-4904.2014.20.014
- VernacularTitle:经胸骨端入路离断颈前肌群翻转固定在双侧巨大甲状腺肿物手术中的优势分析
- Author:
Haihong CHANG
;
Nong CAO
- Publication Type:Journal Article
- Keywords:
Thyroidectomy;
Treatment outcome;
Approach at sternal end transection;
Anterior cervical muscle group
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(20):41-43
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the advantage of anterior cervical muscle group approach at sternal end transection in removal of bilateral huge thyroid neoplasm.Methods One hundred and seven patient underwent removal of bilateral huge thyroid neoplasm were selected.Fifty-two patients were given neck white line incision thyroid surgery (control group) and 55 patients were given anterior cervical muscle group approach at sternal end transection for thyroid surgery (observation group).The operative time,operation field exposure effect,amount of bleeding in operation,postoperative complications,and postoperative drainage volume were compared between two groups.Results The operative time [(88.53 ± 5.95) min],amount of bleeding [(18.58 ± 5.95) ml],and postoperative drainage volume [(47.58 ± 14.76) rnl] in observation group were less than those in control group [(113.98 ± 15.85) min,(39.27 ± 16.32) ml,(73.90 ± 14.40) ml] (P ＜ 0.05),the postoperative complication rate was lower than that in control group (P ＜ 0.05).Operation field exposure effect in observation group was better than that in control group (P ＜ 0.05).Conclusions Removal of bilateral huge thyroid neoplasm with the sternal end approach is feasible and simple.The operation field exposure is better than the neck white line incision,complications after operation is less.It is worthy of clinical application.
