摘要
目的:比较胸乳入路腔镜甲状腺手术与颈部入路甲状腺手术治疗甲状腺疾病的临床效果。方法:选取2015年7月-2016年12月在本院接受甲状腺肿块切除的80例患者作为研究对象,根据手术方法不同分为观察组和对照组,各40例。观察组采用胸乳入路腔镜甲状腺手术,对照组采用颈部入路甲状腺手术,对比两组的手术情况、并发症发生率及美容效果满意度。结果:观察组的手术时间、住院费用、美容效果满意度均高于对照组,术中出血量、住院时间、术后VAS评分、并发症发生率均低于对照组,差异均有统计学意义(P<0.05);两组术后引流量比较,差异无统计学意义(P>0.05)。结论:与颈部入路甲状腺手术比较,胸乳入路腔镜甲状腺手术具有创伤小、出血量少、并发症少等优点,但治疗费用较高,因此在临床治疗中需根据患者具体情况做出判断,选择最佳的手术方法。
Objective： To compare the clinical efficacy of breast approach for endoscopic thyroid surgery and cervical approach for thyroid surgery in treatment of thyroid disease.Method： 80 patients received thyroid mass resection in our hospital from July 2015 to December 2016 were selected, they were divided into observation group and control group by different surgical methods, 40 eases in each group.The observation group took breast approach for endoscopic thyroid surgery, the control group took cervical approach for thyroid surgery, the surgical situation, incidence of complications, satisfaction of cosmetic effect in two groups were compared.Result： The surgery time, hospitalization expense, satisfaction of cosmetic effect of observation group were higher than those of control group, and intraoperative bleeding volume, hospital stays, postoperative VAS score, incidence of complications were lower than those in control group, the differences were statistically significant （ P〈0.05 ） ; there was no statistical difference in the postoperative volume of drainage between the two groups （ P〉0.05 ） .Conclusion： Compared with cervical approach for thyroid surgery, breast approach for endoscopic thyroid surgery has small trauma, bleeding volume and less complications, but its expense is higher, therefore it is necessary to make judgments according to patients＇ specific conditions, thus selecting best surgical method.
出处
《中国医学创新》
CAS
2017年第12期66-69,共4页
Medical Innovation of China
关键词
胸乳入路腔镜甲状腺手术
颈部入路甲状腺手术
甲状腺疾病
Breast approach for endoscopic thyroid surgery
Cervical approach for thyroid surgery
Thyroid disease
