摘要
背景最低限度地侵略的帮助录像的甲状腺切除( MIVAT )接受了增加注意因为这研究的恶意的甲状腺 diseases.The 目的是为乳突的甲状腺 microcarcinoma ( PTMC )把 MIVAT 的结果与常规开的甲状腺切除( CT )作比较 .Methods 31 个病人与 MIVAT 被对待并且 37 与 CT.Their 病理学的特征，外科的复杂并发症，5年的手术后的 thyroglobulin ( TG )和超声的结果是所有病人拿了的跟随的 up.
Background Minimally invasive video-assisted thyroidectomy （MIVAT） has received increasing attention for malignant thyroid diseases. The aim of this study was to compare the outcomes of MIVAT with conventional open thyroidectomy （CT） for papillary thyroid microcarcinoma （PTMC）. Methods Thirty-one patients were treated with MIVAT and 37 with CT. Their pathological characteristics, surgical complications, 5-year postoperative thyroglobulin （TG） and ultrasonic results were followed up. Results All the patients took levothyroxine for suppressing thyroid stimulating hormone （TSH） after surgery, and were followed up with measurement of serum TG and neck ultrasonography at intervals of 6 or 12 months. There was no statistically significant difference between the CT and MIVAT groups for sex ratio, operation time, positive lymph nodes, complications and prognosis, but the MIVAT group had better cosmetic results. Conclusions MIVAT did not differ significantly from CT for PTMC after 5 years follow-up, but it did have better cosmetic results. MIVAT is a safe and valid surgical technique for selected cases.
关键词
甲状腺疾病
切除术
传统
乳头
电视
甲状腺球蛋白
促甲状腺激素
癌
minimally invasive video-assisted thyroidectomy
papillary thyroid microcarcinoma
surgical outcome
