摘要
目的:探讨腔镜辅助下小切口甲状腺手术(改良Miccoli)的安全性及临床效果。方法:将2014年3月—2016年2月接受治疗的80例良性甲状腺疾病患者,按照入院顺序抽签后随机分为观察组和对照组,每组各40例。对照组行传统甲状腺手术,观察组在腔镜辅助下行小切口甲状腺手术。观察两组患者手术情况、术后暂时声音嘶哑、呛咳发生情况、术后颈部恢复活动时间、切口长度、切口满意度、并发症发生率。结果:观察组手术时间、术中出血量、术后引流量、住院时间、平均住院费用均比对照组低,两组比较,差异有统计学意义(P<0.05);观察组术后暂时声音嘶哑、呛咳发生1例(2.50%),对照组3例(7.50%),两组比较,差异无统计学意义(P>0.05);观察组术后颈部恢复活动时间、切口长度均比对照组低,两组比较,差异有统计学意义(P<0.05);观察组切口满意度高于对照组,并发症发生率低于对照组,两组比较,差异有统计学意义(P<0.05)。结论:腔镜辅助下小切口甲状腺手术临床效果较好,术后颈部恢复活动时间、切口长度均较低,而且切口满意度高,并发症发生率低,安全性好,临床应用价值较高。
Objective：To explore the clinical effects for the patients with benign thyroid disease by endoscopic assisted minimally invasive video - assisted thyroidectomy. Methods：All 80 cases of patients with benign thyroid disease were randomly divided into experiment group and control group,40 cases in each group,the control group were treated by tranditional thyroid,the experiment group were treated by endoscopic assisted minimally invasive video - assisted thyroidectomy. The surgery,post-operative temporary hoarseness,choking cough occurrence,postoperative neck recovery activities time,incision length,satisfac-tion of incision,incidence of complications were observed. Results：The operative time,intraoperatve blood soss,postoperative suction drainage ,hospital stays ,mean hospitalization cost for the experiment group were lower than the control group（ P 〈0. 05）. There had no significant difference on the temporary hoarseness,choking cough for the two groups（P 〉 0. 05）. The neck activity time,incision length for the experiment group were lower than the control group（P 〈 0. 05）. The rate of notch sat-isfaction for the experiment group were higher than the control group（P 〈 0. 05）. The rate of complication for the experiment group were lower than the control group（P 〈 0. 05）. Conclusion：It has good clinical effects for the patients with benign thyroid disease by endoscopic assisted minimally invasive video - assisted thyroidectomy,patients with surgery effect is good,time, length of incision,postoperative neck recovery activities is low,and high satisfaction of incision,low complication rate,good se-curity,it has high clinical application.
出处
《临床医药实践》
2016年第11期805-808,共4页
Proceeding of Clinical Medicine
基金
新余市科技计划项目(项目编号:20153090801)
关键词
腔镜辅助
小切口甲状腺手术
安全性
临床效果
endoscopic assisted
minimally invasive video - assisted thyroidectomy
security
clinical effects
