摘要
目的探讨双侧乳晕入路腔镜手术与传统手术治疗良性甲状腺疾病的临床效果。方法回顾性选取漳浦县医院2019年3月—2021年3月收治的120例良性甲状腺疾病患者,根据手术方法差异分为对照组和观察组,各60例。对照组患者采用传统颈部小切口甲状腺切除术,观察组患者采用双侧乳晕入路腔镜甲状腺切除术,比较2组手术指标、疼痛评分、炎症因子水平、并发症及术后美观度。结果观察组比对照组手术时间长、术中出血量少、术后引流量多、住院时间短(P<0.05);术后1 d、术后3 d,观察组视觉模拟评分(VAS)均低于对照组(P<0.05);术后,观察组肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)、降钙素原(PCT)、C-反应蛋白(CRP)水平均低于对照组(P<0.05);术后观察组并发症总发生率为3.33%,低于对照组的16.67%(P<0.05);术后1年,观察组温哥华瘢痕评价量表评分(VSS)为(4.14±1.05)分,低于对照组的(8.52±2.37)分,差异有统计学意义(P<0.05)。结论双侧乳晕入路腔镜手术治疗良性甲状腺疾病患者术中出血量少、术后住院时间短、疼痛感低,可有效降低炎症反应,提升美观度,安全性高。
Objective To investigate the clinical effect of bilateral areola approach endoscopic surgery and traditional surgery in the treatment of benign thyroid diseases.Methods A total of 120 patients with benign thyroid disease who were admitted to our hospital from March 2019 to March 2021 were retrospectively selected,and were divided into control group and observation group according to differences in surgical methods,with 60 cases in each group.The patients in the control group were treated with traditional neck small incision thyroidectomy,and the patients in the observation group were treated with bilateral areola approach endoscopic thyroidectomy.The surgical indicators,pain scores,inflammatory factor levels,complications and postoperative aesthetics were compared between the two groups.Results The operation time of the observation group was longer than that of the control group,the intraoperative blood loss was less than control group,the postoperative drainage volume was more than that of the control group,and the hospital stay was shorter than control group(P<0.05).At 1d and 3d after operation,the VAS scores of the observation group were lower than control group(P<0.05).After operation,the levels of TNF-α,IL-6,PCT and CRP in the observation group were lower than control group(P<0.05).The total incidence of postoperative complications in the observation group was 3.33%,which was significantly lower than 16.67%in the control group(P<0.05).One year after operation,the VSS score of the observation group(4.14±1.05)was lower than control group(8.52±2.37),with a significant difference(P<0.05).Conclusion Bilateral areola endoscopic surgery for benign thyroid disease patients has less intraoperative blood loss,shorter postoperative hospital stay,less pain,effectively reduces inflammatory response,improves aesthetics,and is safe.
作者
林小周
赵益发
Lin Xiaozhou;Zhao Yifa(The Zhangpu County Hospital,Zhangpu,Fujian 363200)
出处
《基层医学论坛》
2023年第22期31-33,93,共4页
The Medical Forum
关键词
良性甲状腺疾病
双侧乳晕入路腔镜手术
传统手术
美观度
炎症因子
Benign thyroid disease
Bilateral areola approach laparoscopic surgery
Traditional surgery
Aesthetics
Inflammatory factors
