摘要
目的分析经胸乳入路腔镜甲状腺手术与常规颈部入路甲状腺手术治疗甲状腺疾病的临床应用效果;方法该次研究方便选取该院2017年1月-2019年1月收治的80例甲状腺疾病患者为治疗探讨对象,采用随机数表法平均纳入两组,即对照组(n=40)和观察组(n=40),对照组采用常规颈部入路甲状腺手术治疗,观察组采用经胸乳入路腔镜甲状腺手术治疗,比较两组患者满意率、不良反应发生率和术中出血量等相关指标。结果①两组相关指标对比,观察组均优于对照组,组间出血量、手术时间和住院时间差异有统计学意义(P<0.05),两组术后引流量差异无统计学意义(P>0.05)。②两组不良反应总发生率比较,观察组(7.50%)低于对照组(25.00%),组间发生率差异有统计学意义(χ~2=5.878,P=0.015 <0.05)。③两组满意率比较,观察组(90.00%)高于对照组(72.50%)(χ~2=5.251,P=0.022<0.05)。结论可见对甲状腺疾病患者采用经胸乳入路腔镜手术治疗,可取得明显的治疗效果,利于降低术中出血量、缩短手术治疗时间,降低不良反应发生率,相较于常规颈部入路治疗具有更高的使用安全性,对患者病情改善效果明显,可加快恢复速度,临床应用效果显著。
Objective To analyze the clinical effect of transthoracic breast approach endoscopic thyroid surgery and conventional cervical approach thyroid surgery in the treatment of thyroid diseases. Methods This study in the hospital in January 2017 to January 2019, Convenient select 80 patients with thyroid diseases for treatment to investigate object, adopting average indicator method into two groups at random, namely the control group(n=40) and observation group(n=40), the control group with normal cervical approach thyroid surgery, observation group adopted by breast approach cavity mirror thyroid surgery, compared two groups of patients’ satisfaction rate, incidence of adverse reactions and intraoperative blood loss and related indicators. Results 1.Comparison of related indicators between the two groups showed that the observation group was superior to the control group, with statistically significant differences in blood loss, operation time and length of stay between the two groups(P<0.05), There was no significant difference in postoperative drainage between the two groups(P>0.05). 2.The total incidence of adverse reactions between the two groups was compared, the observation group(7.50%) was lower than the control group(25.00%), and the difference between the groups was statistically significant(χ~2=5.878, P=0.015 <0.05). 3. Compared with the satisfaction rate of the two groups, the observation group(90.00%) was higher than the control group(72.50%)(χ~2=5.251,P=0.022<0.05). Conclusion The visible in patients with thyroid diseases using the breast into therapeutic endoscopy surgery, can obtain obvious treatment effect, to reduce the intraoperative blood loss, shorter operative time, reduce the incidence of adverse reactions, compared with the conventional neck into the road treatment has higher safety, using the patient condition to improve effect is obvious, can speed up the recovery, clinical effect is remarkable.
作者
刘琦
黄萍
罗翠松
LIU Qi;HUANG Ping;LUO Cui-song(General Surgery,Integrated Traditional Chinese and Westerm Medicine Hospital of Zhuhai,Zhuhai,guangdong province,519000 China)
出处
《中外医疗》
2020年第6期73-75,共3页
China & Foreign Medical Treatment
关键词
经胸乳入路腔镜甲状腺手术
常规颈部入路甲状腺手术
甲状腺疾病
临床应用效果
Transthoracic breast approach endoscopic thyroid surgery
Routine cervical approach thyroid surgery
Thyroid disease
Clinical application effect
