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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