甲状腺切除术

To evaluate the effect of endoscopic partial-thyroidectomy in treatment of patients with thyroid diseases.

目的 探讨内镜下甲状腺部分切除术在甲状腺疾病中的应用价值。

Thyroid function hyperfunction 136, overall travel is thyroid complete resection.

甲状腺功能亢进136例，全部行甲状腺次全切除术。

Objective: To investigate the value and clinical significance of total thyroidectomy performed for benign thyroid disease.

目的：探讨甲状腺全切除术甲状腺良性疾病的价值及临床意义。

Methods Forty ASAⅠ-Ⅱpatients scheduled for elective thyroidectomy under cervical plexus block combined with general anesthesia were enrolled and randomly divided into two groups: group remifentanil and group fentanyl. Group R were induced and maintained with remifentanil and propofol, while group F with fentanyl and propofol. Hemadynamics changing during the induction and maintenance phase, doses of propofol and atracurium, spontaneous breath recovery time, awake time, time of endotracheal tube extubation and side-effect were investigated and compared. Results There were no significant differences in doses of propofol and atracurium between two groups.

选择ASA 分级Ⅰ-Ⅱ级择期在颈丛复合全身麻醉下行甲状腺次全切除术病人40例，随机分为瑞芬太尼组及芬太尼组，R组采用瑞芬太尼和丙泊酚诱导和维持麻醉，F组采用芬太尼和丙泊酚诱导和维持麻醉，观察并比较两组病人麻醉诱导及维持期血流动力学的变化、术中丙泊酚和阿曲库铵的用量、术毕停药后病人自主呼吸恢复时间、清醒时间、拔管时间以及苏醒期不良反应等。

Group R were induced and maintained with remifentanil and propofol, while group F with fentanyl and propofol. Hemadynamics changing during the induction and maintenance phase, doses of propofol and atracurium, spontaneous breath recovery time, awake time, time of endotracheal tube extubation and side-effect were investigated and compared. Results There were no significant differences in doses of propofol and atracurium between two groups.

选择ASA 分级Ⅰ-Ⅱ级择期在颈丛复合全身麻醉下行甲状腺次全切除术病人40例，随机分为瑞芬太尼组及芬太尼组，R组采用瑞芬太尼和丙泊酚诱导和维持麻醉，F组采用芬太尼和丙泊酚诱导和维持麻醉，观察并比较两组病人麻醉诱导及维持期血流动力学的变化、术中丙泊酚和阿曲库铵的用量、术毕停药后病人自主呼吸恢复时间、清醒时间、拔管时间以及苏醒期不良反应等。

Methods Forty ASAⅠ-Ⅱpatients scheduled for elective thyroidectomy under cervical plexus block combined with general anesthesia were enrolled and randomly divided into two groups: group remifentanil and group fentanyl. Group R were induced and maintained with remifentanil and propofol, while group F with fentanyl and propofol. Hemadynamics changing during the induction and maintenance phase, doses of propofol and atracurium, spontaneous breath recovery time, awake time, time of endotracheal tube extubation and side-effect were investigated and compared. Results The re were no significant differences in doses of propofol and atracurium between two groups.

选择ASA 分级Ⅰ-Ⅱ级择期在颈丛复合全身麻醉下行甲状腺次全切除术病人40例，随机分为瑞芬太尼组及芬太尼组，R组采用瑞芬太尼和丙泊酚诱导和维持麻醉，F组采用芬太尼和丙泊酚诱导和维持麻醉，观察并比较两组病人麻醉诱导及维持期血流动力学的变化、术中丙泊酚和阿曲库铵的用量、术毕停药后病人自主呼吸恢复时间、清醒时间、拔管时间以及苏醒期不良反应等。

Key words］ thyroid gland;hemithyroidectomy;surgical procedures

关键词］甲状腺；甲状腺腺叶切除术；手术方式

Methods Seventeen patients with thyroid tumor underwent endoscope-assisted thyroid lobectomy through suprasternal mini-incision (2.5-3.5cm).

对17例甲状腺肿瘤患者采用胸骨上2.5~3 cm 小切口，在腔镜辅助下，应用超声刀行甲状腺叶切除术。

Methods seventeen patients with thyroid tumor underwent endoscope-assisted thyroid lobectomy through suprasternal mini-incision (2.5-3.5cm).results the operation was accomplished successfully in all the 17 patients.

对17例甲状腺肿瘤患者采用胸骨上2.5~3 cm 小切口，在腔镜辅助下，应用超声刀行甲状腺叶切除术。

The patients had been followed up for 8～36 months after surgery.9 patients existed postoperative complications and 3 patients recured after surgery.

回顾性分析我院2000～2007年收治的130例甲状腺腺瘤患者临床表现、围术期处理、手术方法以及术后并发症等。临床以颈前小结节为主，53例行腺瘤摘除术，77例行腺瘤摘除加部分腺叶切除术。

According to the clear water experiment, aeration performance of the new equipment is good with high total oxygen transfer coefficient and oxygen utilization ratio.

曝气设备的动力效率在叶轮转速为120rpm～150rpm时取得最大值，此时氧利用率和充氧能力也具有较高值。

The environmental stability of that world - including its crushing pressures and icy darkness - means that some of its most famous inhabitants have survived for eons as evolutionary throwbacks, their bodies undergoing little change.

稳定的海底环境─包括能把人压扁的压力和冰冷的黑暗─意谓海底某些最知名的栖居生物已以演化返祖的样态活了万世，形体几无变化。