...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical endoscopy >Anatomical study of gasless transoral thyroidectomy and clinical application
【24h】

Anatomical study of gasless transoral thyroidectomy and clinical application

机译：无气经口甲状腺切除术的解剖学研究及临床应用

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background Transoral thyroidectomy is becoming a preferred technique because it has the advantage of not leaving a scar after surgery. However, it is not yet standard because of the anatomic nerve complexity of this oral cavity and difficulty of approach. The aim of this study was to determine the safety zone of a gasless transoral thyroidectomy approach using an anatomical study and to evaluate the efficacy of this approach on clinical application. Methods Phase 1, twenty unilateral specimens from fresh cadavers underwent staining by the modified Sihler's method to identify nerves around the oral vestibules. Then, the safety zone of the transoral thyroidectomy approach was proposed. Phase 2, a comparative analysis of the clinical outcomes of gasless transoral thyroidectomy through the safety zone versus transcutaneous thyroidectomy approach. Results In phase 1, numerous inferior labial branches diverged from the mental nerve and were distributed across the lower lip. In most cases, the most lateral branch reached almost to the corner of the mouth, whereas a nerve-free area was present at the medial region of the lower lip. The suggested safety zone was presented as a trapezoid shape. In phase 2, there were no significant differences in age, mass size, or complications between the two groups. However, the operation time in the transoral thyroidectomy group was longer than in the transcutaneous group (p = 0.001). Conclusions Based on the anatomical study, we suggested a safety zone for the gasless transoral thyroidectomy. On application of this safety zone, gasless transoral thyroidectomy is a safe and feasible procedure.
机译：背景 经口甲状腺切除术正在成为一种首选技术，因为它具有手术后不留下疤痕的优点。然而，由于这种口腔的解剖神经复杂性和接近的困难，它还没有成为标准。本研究的目的是通过解剖学研究确定无气经口甲状腺切除术方法的安全区，并评估该方法在临床应用上的疗效。方法 第 1 阶段，对 20 份来自新鲜尸体的单侧标本进行改良的 Sihler 法染色，以识别口腔前庭周围的神经。然后，提出了经口甲状腺切除术的安全区。第 2 阶段，通过安全区无气经口甲状腺切除术与经皮甲状腺切除术的临床结果的比较分析。结果 在第1阶段，许多下唇支从颏神经发散并分布在下唇。在大多数情况下，最外侧的分支几乎到达嘴角，而下唇的内侧区域存在无神经区域。建议的安全区域呈现为梯形。在第 2 阶段，两组在年龄、肿块大小或并发症方面没有显著差异。然而，经口甲状腺切除术组的手术时间比经皮组长（p = 0.001）。结论 根据解剖学研究，我们建议为无气经口甲状腺切除术设置安全区。在应用该安全区时，无气经口甲状腺切除术是一种安全可行的手术。

著录项

相似文献

  • 外文文献
  • 中文文献
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号