摘要
目的对比分析腔镜下手术与传统手术治疗甲状腺疾病的临床疗效。方法收集2013年5月～2015年6月期间在我院进行甲状腺切除术的病例152例,按照治疗方法分为两组,研究组和对照组各76例患者,研究组用腔镜下手术甲状腺切除术,对照组用传统手术甲状腺切除术,比较两组手术时间、出血量、术后恢复时间、费用及疼痛情况。结果研究组手术时间[（130.8±21.3）min]与对照组[（122.5±20.9）min]比较稍长,出血量[（25.2±5.6）m L]与对照组[（96.1±17.2）m L]比较较少,术后恢复时间[（3.6±0.5）d]与对照组[（6.2±1.3）d]比较较短,费用[（10 142.3±385.1）元]与对照组[（7938.7±212.6）元]比较较高,两组差异有统计学意义（t=3.91、7.10、3.68、12.72,P〈0.05）。研究组和对照组患者术后12 h的VAS评分[（3.2±0.5）分、（6.0±1.1）分]均高于术后4 h[（2.4±0.3）分、（4.1±0.7）分],术后24 h的VAS评分[（1.7±0.2）分、（2.9±0.5）分]低于术后12 h,不同时间点的VAS评分比较差异有统计学意义（F=3.14、4.69,P〈0.05）。研究组术后4 h、术后12 h、术后24 h的VAS评分与相同时间点的对照组比较明显较低,两组差异有统计学意义（t=4.73、5.28、3.06,P〈0.05）。研究组并发症发生率（21.05%）低于对照组（32.89%）,两组差异有统计学意义（χ^2=9.58,P〈0.05）。结论腔镜下甲状腺切除术可减少出血量,术后疼痛程度轻,患者在短期内快速康复,可在临床推广应用。
Objective To compare the clinical efficacy of the thyroid disease treated with thyroid surgery and conventional endoscopic resection. Methods A total of 152 cases of thyroidectomy patients were selected from May 2013 to June 2015 in our hospital, they were divided into two groups according to the treated methods, there were 76 cases in the study group and the control group, the study group treated with endoscopic surgical thyroidectomy, the control group treated with conventional surgery thyroid surgery, the operative time, blood loss, postoperative recovery time, expense and pain conditions of two groups were compared. Results The operative time of the study group [（130.8±21.3） min]was longer than that of the control group[（122.5±20.9） min], bleeding amount[（25.2±5.6） m L]was relatively small than that of the control group[（96.1±17.2） m L], the postoperative recovery time[（3.6±0.5） d] was shorter than that of the control group[（6.2±1.3） d], the costs associated[（10 142.3±385.1） yuan]was higher than that of the control group[（7938.7±212.6）yuan], there were significant difference between two groups（t=3.91, 7.10, 3.68, 12.72, P〈0.05）. VAS scores on 12 h after operation of the study group and the control group [（3.2±0.5） scores,（6.0±1.1） scores] was higher than after operation 4 h[（2.4±0.3） scores,（4.1±0.7） scores], VAS score on 24 h after operation [（1.7±0.2） scores,（2.9±0.5） scores] was lower than after operation 12 h, there were significant difference in VAS scores on different time points（F=3.14, 4.69,P〈0.05）. VAS scores on 4 h, 12 h, 24 h after operation was significantly lower than the control group on the same time, there were significant differences between two groups（ t =4.73, 5.28, 3.06, P〈0.05）. The complication rate of the study group（21.05%） was lower than the control group（32.89%）, there was significant difference between two groups（χ^2=9.58, P〈0.05）. Conclusion Endoscopic thyroidectomy can reduce the amount of bleeding, mild postoperative pain,patients recover quickly in the short term, it can be applied in clinical practice.
出处
《中国现代医生》
2016年第8期37-39,42,共4页
China Modern Doctor
关键词
甲状腺
腔镜
传统手术
甲状腺切除术
Thyroid
Laparoscopic
Traditional surgery
Thyroidectomy
