What is the surgical procedure of thyroid tumor? 1. Preoperative preparation: thyroglossal duct cyst resection. Patients with hyperthyroidism should prepare for subtotal thyroidectomy.
2. Posture and incision: Posture is the same as subtotal thyroidectomy. On the sternal notch, cut two fingers horizontally along the dermatoglyphics. The incision should be close to the adenoma, and the length depends on the size of the adenoma.
3, adenoma exposure: first cut the thyroid tissue on the surface, then use your fingers to passively separate the adenoma, and finally clamp the pedicle. The separation of skin flap and the cutting and separation of anterior thyroid muscle are the same as subtotal thyroidectomy. After exposure to thyroid gland, a comprehensive and careful examination should be conducted to determine the location, number and nature of the lesions. If the adenoma is small, the anterior thyroid muscle group can be fully stretched to the left and right sides, and it is not necessary to cut off the muscle group routinely.
4. Adenoma resection: If the cyst is benign, you can sew or clamp the blood vessels of thyroid tissue on the surface of the adenoma, then cut the thyroid tissue on the surface to reach the surface of the thyroid adenoma, and use curved vascular forceps or fingers to passively separate it along the periphery of the adenoma until it reaches the pedicle, then peel off the adenoma from the surrounding thyroid tissue, clamp off the pedicle, and then ligate the adenoma. When there is bleeding point during peeling, clamp it to stop bleeding. After resection of adenoma, the vascular tissue clamped by vascular forceps must be ligated one by one.
Finally, the thyroid tissue and thyroid capsule were sutured intermittently with thin lines to eliminate the residual cavity left after adenoma resection. If it is a solid adenoma, the normal gland tissue around the tumor should be removed 1cm.
5. Drainage suture: After careful hemostasis, place a rubber flap in the adenoma fossa, lead it out from the side corner of the incision, and then suture the incision layer by layer. Surgical treatment is risky and has a high recurrence rate. It is not suitable for all patients with thyroid tumors. I suggest you choose Chinese medicine for treatment.
It will be better to check how to care for thyroid tumors in andrology. 1. Guide patients to establish a regular lifestyle, ensure good rest and adequate sleep, eat and rest reasonably, and strive to maintain mental balance.
2. Strengthen outdoor activities, such as walking, jogging, qigong, Tai Ji Chuan, various aerobics, etc. In order to promote human blood circulation, promote metabolism, enhance human immunity and prevent respiratory infectious diseases such as colds. In activities, we should pay attention to choosing non-competitive projects to avoid unpleasant things.
3. Thyroid cancer is a group of diseases with extremely uneven benign and malignant, and the prognosis is very different. Therefore, comprehensive treatment should be actively carried out after surgical resection, and thyroxine should be used for a long time according to the doctor's advice after operation, and 13 1I should be used for patients with distant metastasis. Explain to patients and their families that as long as they follow the doctor's advice, maintain a good mental state, eat reasonably, combine work and rest, and strengthen self-care, most patients can survive for a long time, so that patients can enhance their confidence in fighting the disease.
4. For undifferentiated or poorly differentiated thyroid cancer with high malignant degree, regular radiotherapy and chemotherapy should be guided according to doctor's advice to prolong life and improve quality of life. What nursing matters should be done in the late stage of thyroid cancer?
5. Follow the doctor's advice for regular follow-up. Thyroglobulin and 15 1I imaging should be reviewed regularly in differentiated thyroid cancer. Medullary carcinoma should be reexamined regularly with calcitonin and carcinoembryonic antigen (CEA). Undifferentiated cancer or differentiated cancer without iodophor should be examined by B-ultrasound, CT, MRI or thallium (TI) imaging regularly in order to find recurrence and metastasis in time.
6. To strengthen self-observation, patients should pay close attention to their own subtle changes, especially lumps, nodules, pain, hoarseness, dysphagia and abnormal feelings in the thyroid region and other parts of the body around them. If they find anything unusual, they should seek medical advice in time.
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