摘要目的 介绍在甲状腺外科应用直视微创技术的微创和美容效果.方法 利用MPBS系列微创器械,取颈前低位微小切口直视下行甲状腺次全切除或一侧甲状腺叶切除术.结果 甲状腺次全切除术164例,一侧甲状腺叶切除78例.切口长度(2.0±0.5)cm,手术时间(40±10)min,术中出血量(30±10)ml,无中转手术,无手术并发症.切口细小,美容效果满意.随访1年至3年无近远期手术并发症.结论 直视微创甲状腺手术创伤小,美容效果好,安全简捷.但存在术野狭小,操作不便等缺点,是值得进一步探讨和完善的微创手术之一.

abstractsObjective To get minimally invasive and cosmetic effect,minimal incision was used in thyroid surgery.Methods By using MPBS series instruments,thyroid surgeries were performed through anterior cervical tiny incision approach.Results 164 cases of subtotal theroidectomy and 78 cases of thyroid individual lobe resection were performed.The length of incision were(2.0 ± 0.5)cm,and the duration of operation time were(40 ± 10)min.the volume of blood loss were(30 ± 10)ml.There was no conversion to traditional open operation.After 3 years follow-up,short and long term complications were not found.Conclusions Minimally incision thyroid surgery has advantages of less trauma,cosmetic effect and does not compromise the safety.The disadvantages of this method is limited operative field and inconvenience for operation,which need to be further improved.