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开放手术和内镜手术治疗甲状腺癌效果分析 被引量:11

Comparison of effect of open surgery and endoscopic surgery on thyroid carcinoma
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摘要 目的:比较内镜手术与开放手术治疗甲状腺癌的临床效果。方法:选取甲状腺癌79例,行传统开放手术47例,内镜手术32例。结果:内镜手术组的术中出血量明显少于开放手术组(P<0.01);内镜手术组的引流量较开放手术组显著增加(P<0.01);两组病例出血、感染、神经损伤以及肿瘤种植等术后并发症的发生率无显著差异。结论:甲状腺癌内镜手术较开放手术术中出血量少,不增加住院时间,患者术后术后严重并发症的发生率未出现显著增加,尽管手术时间较长,术后切口引流量多,但总体短期疗效较好。 Objective: To compare effect of open surgery and endoscopic surgery on thyroid carcinoma.Methods: A total of 79 cases with thyroid carcinoma were selected,including 47 with open surgery and 32 with endoscopic surgery.Results: The bleeding volume during surgery was significantly fewer,and the drainage volume was significantly increased in endoscopic group(P0.01).There were no significant differences in incidence of hemorrhage,infection,nerve injury and complication after tumor implantation.Conclusions:The bleeding volume is fewer for patients with endoscopic surgery.The hospitalization time is not prolonged,and incidence of severe complication is not increased.Although with longer the operation time and more drainage volume,the total efficacy in short term of endoscopic surgery is satisfactory.
作者 肖忠承
出处 《海南医学院学报》 CAS 2011年第6期783-785,共3页 Journal of Hainan Medical University
基金 海南医学院科研基金资助学报项目(0020110197)~~
关键词 内镜手术 甲状腺癌 甲状腺切除术 Endoscopy Thyroid carcinoma Thyroidectomy
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参考文献5

  • 1Gagner M. Endoscopic subtotal parathyroidectomy in patients with primary hyperparathyroidism[J]. Br J Surg, 1996,83:875.
  • 2江道振,仇明,张军初,徐昕昀,丁尔迅,林峰,王伟军.经胸前径路内镜甲状腺切除术与常规入路的比较研究[J].中华普通外科杂志,2004,19(8):486-487. 被引量:31
  • 3Bae JS, Park WC, Song BJ, et al. Endoscopic thyroidectomy and sentinel lymph node biopsy via an anterior chest approach for papillary thyroid cancer[J]. Surg Today, 2009, 39:178-181.
  • 4Chung YS, Choe JH, Kang KH, et al. Endoscopic thyroidectomy for thyroid malignancies: comparison with conventional open thyroidectomy. World J Surg, 2007, 31(12) :2302- 2308.
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二级参考文献2

  • 1Gagner M,Inabnet WB 3rd.Endoscopic thyroidectomy for solitary thyroid nodules.Thyroid,2001,11:161-163.
  • 2Ikeda Y,Takami H,Niimi M,et al.Endoscopic thyroidectomy by the axillary approach.Surg Endosc,2001,15:1362-1364.

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