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METHOD OF EXTRAFASCIAL HEMITHYREOIDECTOMY WITH RESECTION OF ISTHMUS AND ABLATION OF PYRAMID OF THYROID IN CASE OF DIFFERENTIATED THYROID CANCER
METHOD OF EXTRAFASCIAL HEMITHYREOIDECTOMY WITH RESECTION OF ISTHMUS AND ABLATION OF PYRAMID OF THYROID IN CASE OF DIFFERENTIATED THYROID CANCER
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机译：分化型甲状腺癌患者经皮切除部分甲状腺组织的方法
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摘要
FIELD: medicine.;SUBSTANCE: invention relates to field of medicine, namely to oncology and surgery, and can be applied in surgery of differentiated thyroid cancer. Essence of method lies in extrafascial hemithyreidectomy with resection of isthmus and ablation of pyramid of thyroid, transverse transaction of anterior muscles of neck. Course of sublingual nerve is traced. Sternothyroid muscle is transected after visualisation in such a way that branches of sublingual nerve are preserved. Ablation of affected lobe starts from transaction of upper vascular fascicle, which is sewn and ligated near capsule with isolation of external branch of superior laryngeal nerve. Inferior thyroid artery is transected and ligated near thyroid gland capsule. Pyramid of thyroid is ablated extrafascially, exposing from isthmus to top with ligation of vessels near its capsule.;EFFECT: application of claimed invention makes it possible to prevent atrophy of anterior muscles of neck and the act of swallowing dysfunction due to prevention of trauma to branches of sublingual nerve.;2 tbl, 1 ex
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机译：发明领域本发明涉及医学领域，即肿瘤学和外科手术，可用于分化型甲状腺癌的外科手术。该方法的实质在于筋膜外半月板切除术，切除峡部和消融甲状腺金字塔，横向交换颈前肌。舌下神经的过程可以追溯。可视化后，以保留舌下神经分支的方式切断甲状腺干肌。切除受损的肺叶始于上血管束的交易，将其缝合并结扎在囊膜附近，并分离出喉上神经的外部分支。甲状腺下动脉被横断并结扎在甲状腺包膜附近。甲状腺金字塔被筋膜外消融，从峡部暴露到顶部，并在其囊膜附近结扎血管。[效果]：本发明的应用使得可以预防颈部前肌萎缩和预防由于预防创伤引起的吞咽功能障碍。舌下神经分支。; 2 tbl，1 ex
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