摘要
目的对比研究腔镜辅助下与全腔镜下甲状腺手术治疗良性甲状腺瘤的安全性及复发率。方法按照自愿原则将185例接受甲状腺手术的患者分为2组,研究组100例,采取腔镜辅助手术。对照组85例,采用全腔镜手术。对比2组手术时间、术中出血量、术后疼痛VAS评分、并发症发生率、住院时间及随访1 a复发率。结果 2组患者均成功完成手术,无中转者。2组手术时间及随访1 a复发率无显著性差异,但研究组住院时间更短,术中出血量更少,术后疼痛评分、并发症发生率更低,组间比较差异有统计学意义(P<0.05)。结论良性甲状腺肿瘤患者应用腹腔镜辅助或全腔镜甲状腺手术治疗效果一致,但腔镜辅助下手术安全性更高,患者疼痛更轻,值得借鉴。
Objective To study the application of adjuvant intraperitoneal and total endoscopic thyroidectomy treatment. Methods The hospital general surgery admissions of 185 cases of thyroidectomy patients were studied,divided them into 2 groups according to the principle of voluntary,with 100 cases in study group and 85 cases in control group. Control group take full endoscopic treatment,study group take assisted endoscopic treatment,compared two groups of operation time,bleeding volume,postoperative VAS pain score,complications occurred rate,hospitalization time,followed up for 1 year recurrence rate. Results Two groups of patients were successfully completed the operation,no transfer; the two groups were followed up for 1 year,the recurrence rate was not statistically significant（ P〉0. 05）; Two group had similar operative time. But the study group had shorter hospital stay,less bleeding,postoperative pain score,complication rate was lower,the difference was statistically significant（ P〈0. 05）. Conclusion In patients undergoing thyroidectomy with laparoscopic assisted or complete endoscopic treatment can guarantee successful operation,but endoscope assisted had higher safety,lighter pain.
出处
《河南外科学杂志》
2016年第3期3-4,共2页
Henan Journal of Surgery
关键词
甲状腺手术
腔镜辅助
全腔镜
临床对比
Thyroid Resection
Laparoscopic
Thoracoscopic
Clinical comparison
