关键词: 锁骨下斜切口, 甲状腺, 手术, 颈部美学

Abstract: 【Abstract】 Objective To explore the feasibility and effect of unilateral thyroid operations by subclavicular oblique incision. Methods A total of 359 cases of unilateral thyroid operations performed between Jan 2006 and Dec 2011 were retrospectively analyzed..Pre-,.intra-and post- operative information were compared. All patients were divided into three groups based on incision types for thyroidectomy, low-collar incision (LI group, n=110), supraclavicular oblique incision (Sup-I group, n=159) and subclavicular oblique incision (Sub-I group, n=90). Results All of operations in three groups were accomplished successfully,.and the patients healed by first intention..Among the 3-24 months of follow-up, no case of tumor residual and recurrence were found..There was no significant difference of mean incision length, operating time and blood loss. One case of recurrent laryngeal nerve injury occurred in each group, with insignificant difference in statistics analysis..Scar adhesion occurrences were 10, 1, 0 respectively in LI, sup-I and sub-I group respectively,.with significant difference in three groups (P<0.001). The appearance was more satisfactory in the Sub-I group (P<0.001)..Conclusion The unilateral thyroid surgery by subclavicular oblique incision has the advantage of safety, lower complications, cosmetic result and is worth for clinical expansion.

Key words: Subclavicular oblique incision, Thyroid, Operate, Neck aesthetics