山东大学耳鼻喉眼学报 ›› 2020, Vol. 34 ›› Issue (3): 13-18.doi: 10.6040/j.issn.1673-3770.1.2019.019

• 专家笔谈 • 上一篇    下一篇

经口腔前庭腔镜甲状腺手术进展与争议

武振1,2,房居高1   

  1. 1.首都医科大学附属北京同仁医院 耳鼻咽喉头颈外科, 北京 100730 ;
    2.聊城市人民医院/山东第一医科大学附属聊城医院 甲状腺乳腺外科, 山东 聊城 252000
  • 发布日期:2019-08-07
  • 通讯作者: 房居高. E-mail:fangjugao@163.com
  • 基金资助:
    首都卫生发展科研专项项目(2018-2-2054)

Progress and controversy of the transoral endoscopic thyroidectomy vestibular approach

WU Zhen1,2, FANG Jugao1   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing 100730, China2. Department of Thyroid and Breast Surgery, Liaocheng People's Hospital, Liaocheng Hospital affiliated to Shandong First Medical University, Liaocheng 252000, Shandong, China
  • Published:2019-08-07

摘要: 在保证疾病治疗和手术安全的前提下,经口腔前庭腔镜甲状腺手术成为甲状腺外科新技术的代表之一,其通过微创手段实现了患者疾病治疗、外观美容的良好效果。该术式在我国已经制定了专家共识,但因尚未普及且操作难度大,仍然面临诸多争议。通过借鉴相关文献并结合自身临床经验,对该项术式的进展与争议作出述评,旨在促进该项手术的规范化推广,让更多甲状腺肿瘤患者获益。

关键词: 甲状腺, 肿瘤, 腔镜甲状腺手术, 前庭入路

Abstract: On the premise of ensuring disease treatment and surgical safety, endoscopic thyroid surgery via the vestibular approach has become a new technique in thyroid surgery, which has achieved good results in disease treatment and cosmetic appearance as a minimally invasive procedure. Domestic experts have reached a consensus on this operation, but as a new surgical method with great technical difficulty, transoral endoscopic thyroidectomy is still highly controversial. On the basis of the literature and our own clinical experience, we reviewed the progress and controversies of this operation. The purpose was to promote the operation and allow more patients with a thyroid tumor to benefit from the treatment.

Key words: Thyroid, Tumor, Endoscopic thyroid surgery, Vestibular approach

中图分类号: 

  • R736.2
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[2] 封新荣,张红霞,许贞姬,曲君君 . 射频消融术治疗慢性肥厚性鼻炎[J]. 山东大学耳鼻喉眼学报, 2006, 20(3): 225 -226 .
[3] 张秋贵,何海燕 . 青岛地区变应性鼻炎常见变应原调查分析[J]. 山东大学耳鼻喉眼学报, 2006, 20(6): 520 -521 .
[4] 李海燕,赵秋良,韩晓攀,于丽 . 阻塞性睡眠呼吸暂停综合征患者自由基损伤与高血压的关系[J]. 山东大学耳鼻喉眼学报, 2006, 20(6): 527 -529 .
[5] 宋西成,张华,张庆泉 . 血循环DNA的检测与头颈部肿瘤的诊断[J]. 山东大学耳鼻喉眼学报, 2006, 20(5): 385 -387 .
[6] 詹善强,孔凡俐,操文娟,汤杰,沈菊,詹文波 . 电刀切除扁桃体236例[J]. 山东大学耳鼻喉眼学报, 2006, 20(6): 559 -560 .
[7] 陈 俊,傅爱清,朱秋萍,楼正才 . 慢性鼻窦炎耐甲氧西林葡萄球菌对抗生素的耐药分析[J]. 山东大学耳鼻喉眼学报, 2007, 21(2): 130 -132 .
[8] 张 虎,艾 琴 . 甲状腺癌再手术15例[J]. 山东大学耳鼻喉眼学报, 2007, 21(2): 166 -167 .
[9] 胡 明,李招娜,李云杰,陶祥臣 . 硬性透气性角膜接触镜对圆锥角膜的塑形作用[J]. 山东大学耳鼻喉眼学报, 2007, 21(2): 171 -173 .
[10] 娄 锋 . 喉上神经阻滞预防喉显微手术心血管反应[J]. 山东大学耳鼻喉眼学报, 2008, 22(2): 173 -175 .