Hochman M, Fee W E
Division of Otolaryngology-Head and Neck Surgery, Stanford University Medical Center, CA 94305-5328.
Arch Otolaryngol Head Neck Surg. 1991 Apr;117(4):405-7. doi: 10.1001/archotol.1991.01870160059009.
Thyroidectomy for benign and malignant disease is most commonly performed with the patient under general anesthesia, although the literature is sprinkled with reports of series of operations performed using local anesthetic techniques. A retrospective review of 43 sequential thyroidectomies compares 21 performed using local anesthesia with 22 performed using general anesthesia. No significant difference was demonstrated in the incidence of major complications. All patients who required a second operation to remove the remaining hemithyroid after the final pathology reports were reviewed elected local anesthesia for their second procedure, attesting to patient satisfaction. Some hemithyroidectomies performed using local anesthesia were outpatient procedures. The indications, guidelines for patient selection, and operative technique of this effective alternative approach to thyroid surgery are presented.
甲状腺切除术用于治疗良性和恶性疾病时，最常见的是在全身麻醉下对患者进行，尽管文献中也零星有关于使用局部麻醉技术进行一系列手术的报道。对43例连续甲状腺切除术进行回顾性分析，比较了21例使用局部麻醉进行的手术和22例使用全身麻醉进行的手术。结果显示，主要并发症的发生率没有显著差异。在最终病理报告出来后，所有需要二次手术切除剩余半侧甲状腺的患者，在二次手术时均选择了局部麻醉，这证明了患者的满意度。一些使用局部麻醉进行的半侧甲状腺切除术属于门诊手术。本文介绍了这种有效的甲状腺手术替代方法的适应证、患者选择指南和手术技术。
