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1、甲状腺次全切除术1-1 体位1-2 切口1-3 分离颈阔肌后疏松组织locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame1-4 缝扎颈前静脉后切断1-5 将颈前肌群与胸锁乳突
2、肌分开1-6 钳间切断甲状腺前的颈前肌群locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame1-7 分离甲状腺上动、静脉1-8 结扎、剪断加缝扎甲状腺上动、静脉1-9 尽量靠
3、近腺体处理上极血管避开喉上神经外侧支locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame1-10 结扎、切断甲状腺中静脉1-11 结扎、切断甲状腺下静脉locatedinth
4、eTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame1-12 包膜内结扎、切断甲状腺下动脉分支1-13 分离峡部后方1-14 钳夹、切断、结扎峡部locatedintheTomb,DongShen
5、Jiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame1-15 沿腺体后侧切线夹钳1-16 沿血管钳前侧楔形切除腺体大部，保留腺体后部1-17 对拢缝合切缘locatedintheTomb,DongShenJiabang,de
6、ferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame1-18 缝合甲状腺前肌群1-19 缝合皮肤，胶皮片引流图1 甲状腺次全切除术图2 甲状腺的血液供应locatedintheTomb,DongShenJiabang,deferthenextd
7、ayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinemasters(WuzhensaidinformationisCarpenter),whogotAfewbayonets,duetomissedfatal,whennightcame图3 甲状腺下动脉和喉返神经的关系图4 从后侧看甲状腺下动脉和喉返神经[适应证]1.甲状腺机能亢进（包括原发性和继发性甲状腺机能亢进）。2.单纯性甲状腺肿，肿块较大，产生压迫症状者。3.多发性甲状腺腺瘤，巨大甲状腺
8、腺瘤或巨大囊肿。[禁忌证]1.年龄小，病情轻，甲状腺肿大不甚明显者。2.年龄大，合并有严重心、肝、肾等疾患而难以耐受手术者。locatedintheTomb,DongShenJiabang,deferthenextdayfocusedontheassassination.Linping,Zhejiang,1ofwhichliquorwinema
