【摘要】 目的 总结用新的皮下隧道建立法实施腔镜甲状腺手术的经验。方法 根据隧道建立方法随机将患者分成两组，A组：采用新的骨膜剥离器结合自制镜下隧道剥离器建立隧道组12例；B组：采用传统钝头剥离棒建立隧道组12例。结果 24例手术均获成功，A组皮下隧道建立时间为(26.5±4.2) min，明显短于B组(48.6±8.5) min；术后均无严重并发症，美容效果满意。结论 采用新的骨膜剥离器结合自制镜下隧道剥离器建立皮下隧道安全可行，明显缩短手术时间。

    【关键词】 腔镜； 甲状腺； 甲状腺切除术

    Clinical analysis of a new method of establishment of the tunnal in endouscopic thyroidectomy by the areola HUANG jun,WANG Jiang,WANG Zi-ming. Chinese medicine hospital of Wuhan City，Wuhan 430014，China

    【Abstract】 Objective To observe the effect of the operation of hypodermic air cavity on thyroid surgery.Methods Patients were ramdonly divided into two equal group ,group A were using periosteal stripper and the water sac. Group B using traditional blunt peeling stick.Results All surgeries were succeeded, Group A spend (26.5±4.2) min to complete, which were shorter than Group B(48.6 ± 8.5) min.No serious complication and the outlook is satisfied.Conclusion It is save and feasible using periosteal stripper combined water bag expand to set up hypodermic air cavity. ......