no doubt甲状腺切除术手术图谱point是什么意思
The patient is placed in mi-Fowler's position with the neck slightly extended and supported with a wadded towel on each side. A collar incision is made from one posterior edge of sternocleidomastoid to the other one fingerbreadth above the clavicle on either side. The line of incision is impresd on the skin using a silk ligature to ensure symmetry
k12在线教育平台排名
图片附件: 1.jpg (2005-7-8 18:20, 8.15 K)
Beginning laterally, the upper flap is bluntly discted up to the notch of the thyroid cartilage with a moist gauze over the thumb
图片附件: 2.jpg (2005-7-8 18:21, 13.29 K)
|
|
The inferior flap is discted downward over the sternal notch using mostly careful sharp disction. The lower flap may be sutured temporarily to the skin of the chest and the upper flap is held with a retractor. The strap muscles and anterior jugular veins are expod anteriorly and the sternocleidomastoids laterally acknowledge
agenda是什么意思
图片附件: 3.jpg (2005-7-8 18:22, 18.38 K)
引文翻译The fascia of the strap muscles is carefully incid in the midline avoiding entry into the thyroid capsule. Crossing veins between anterior jugulars are divided
图片附件: 4.jpg (2005-7-8 18:23, 20.12 K)
Two fingers are ud to elevate both strap muscles on each side to the level of the thyroi拼写 英文
d lobes. It is important to not push too deeply posteriorly before direct visualization is achieved to avoid tearing the middle thyroid veins. Mobilization of the straps is usually more than sufficient for safe exposure of even a moderately enlarged gland. For a massive goiter, division of the straps is prudent.
图片附件: 介词的用法5.jpg (2005-7-8 18:23, 17.07 K)
Lateral retraction of the straps expos the thyroid lobes and middle thyroid veins on either side
图片附件: 6.jpg (2005-7-8 18:24, 20.25 K)
Lateral retraction of the straps expos the thyroid lobes and middle thyroid veins on either side (2).
图片附件: 7.jpg (2005-7-8 18:24, 20.3 K)
数字用英语怎么念The center of the thyroid lobe is transfixed with a heavy (2-0) figure of eight suture and retracted medially. Retraction of the lobe by penetrating clamps is often bloody, tears the tissue and the bulk of the instrument gets in the way. The middle thyroid veins are carefully isolated from the areolar carotid sheaths, ligated and divided. Mobilization of the posterior surfaces is then completed again using two fingers. If thorough exploration of the opposite lobe is indicated, that middle thyroid vein is also divided.
图片附件: 8.jpg (2005-7-8 18:25, 20.26 K)
A thyroid pole retractor is ud to elevate the straps above while downward traction is applied to the suture. The apex of the thyroid lobe is tethered by the superior pole vesls above.
图片附件: 9.jpg (2005-7-8 18:26, 20.54 K)
The superior pole vesls must now be carefully parated from the peritracheal fascia containing the superior laryngeal nerve. The nerve usually lies posteromedial to the vesls.
While delicately retracting the superior pole laterally, a small hemostat is insinuated just medial to the fascia containing the vesls, hugging the contour of the top of the lobe. Opening the clamps parates the vesls from the nerve.
doggone图片附件: 10.jpg (2005-7-8 18:26, 18.77 K)
