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患者陈女士，因发现右颈前肿物1余月来诊，入院诊断为右侧甲状腺腺瘤。为保持颈部美观，陈女士要求施行微创手术治疗，经胸外科行手术方案讨论决定，拟行乳晕入路腔镜甲状腺手术。
医院--暨南大学附属一院杨景哥副主任医师主刀，在胸外科主任陈锦卫协助下，于去年11月在我院手术室气管插管全麻下行纯乳晕入路腔镜右侧甲状腺次全切除术，手术顺利成功，手术后患者轻松自如，无特殊不适。
传统开放性甲状腺手术能够安全有效地治疗甲状腺疾病，但不可避免留下终身存在的颈部疤痕。颈部是女性容貌不可或缺的一部分，手术疤痕成为不少女性患者“心中永远的痛”，甚至产生严重的心理问题。
如何妥善地解决颈部瘢痕的美容问题成为外科医生思考的全新课题，小切口、隐蔽切口的腔镜甲状腺手术也应运而生。
腔镜下甲状腺手术的路径众多，主要有胸乳入路、腋窝入路、口腔入路。经口腔入路是最新腔镜甲状腺手术，该术式包括经口腔前庭和经口底入路。所谓的“口腔前庭”，是牙齿前方和嘴唇后方之间的部位；而“口底”是牙齿后方的部位。
口腔入路伤口愈合较好，粘膜小孔相当于几个口腔溃疡被修复，且比较隐匿，基本不留疤，但口腔入路的腔镜甲状腺手术尚处于探索阶段。
当前，胸乳入路腔镜甲状腺手术技术最为成熟，纯乳晕入路是胸乳入路的一种，是目前的主流入路，疤痕小而隐秘。
本次陈女士正是采用了纯乳晕入路腔镜甲状腺手术，术后颈部无疤痕，双侧乳晕小伤口愈合良好，疤痕不明显显露。腔镜甲状腺手术的成功施行，标志着我院腔镜技术跃上新台阶。
新丰医院
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