摘要
目的:探讨3D腔镜在胸乳入路甲状腺腺叶切除术中的应用价值。方法:回顾分析2014年1月至2017年9月120例经胸乳入路腔镜甲状腺腺叶切除患者的临床资料,根据住院顺序分为3D组与2D组,每组60例。比较两组术中、术后观察指标。结果:3D组腺叶切除时间、颈白线缝合时间、总手术时间、术中出血量、术中血管损伤率优于2D组,差异有统计学意义(P<0.05);而术后引流量、拔管时间、术后住院时间、总住院费用及甲状旁腺损伤、暂时性声音嘶哑、一过性低钙、皮下淤血、皮下积液、呛咳发生率两组差异均无统计学意义(P>0.05)。结论:经胸乳入路3D腔镜甲状腺腺叶切除术不仅能缩短手术时间、减少术中副损伤,而且不会增加术后并发症与住院费用,可提高手术的安全性,可行、有效。
Objective：To investigate the clinical application of 3 D endoscopic thyroid lobectomy via thoracoareolar approach.Methods：Retrospective analysis was made on the clinical data of 120 patients who underwent endoscopic thyroid lobectomy via thoracoareolar approach from Jan. 2014 to Sep. 2017. Patients were divided into 3 D group（60 cases） and 2 D group（60 cases） according to the sequence of hospitalization. The intraoperative and postoperative observation indexes were compared between the two groups. Results：The time of lobectomy,the suture time of white line,the total operation time,the amount of bleeding during operation and intraoperative vascular injury rate in group 3 D were less than those in group 2 D（ P〈 0. 05）. There were no significant differences between the two groups in postoperative drainage,extubation time,postoperative hospitalization time,total hospitalization expenses,parathyroid injury,temporal hoarseness,transient hypocalcemia,subcutaneous congestion,subcutaneous effusion and bucking（ P〉 0. 05）. Conclusions：Three-dimensional endoscopic thyroid lobectomy in trans-thoracoareolar approach is feasible and effective,can shorten the operation time,reduce the side injury,improve the safety of surgery,and dose not increase the postoperative complications or hospitalization cost.
作者
郑子芳
吴黎敏
简陈兴
刘伟
ZHENG Zi-fang;WU Li-min;JIAN Chen- xing;et al(Department of Minimally lnvasive Surgery, the Affiliated Hospital of Putian University, Putian 351100, China)
出处
《腹腔镜外科杂志》
2018年第4期248-251,共4页
Journal of Laparoscopic Surgery
关键词
甲状腺切除术
内窥镜检查
成像
三维
经胸乳入路
Thyroidectomy
Endoscopy
Imaging
three-dimensional
Trans-thoracoareolar approach
