内镜下甲状腺良性肿瘤切除术的疗效观察  

Research on the efficacy of endoscopic resection of thyroid benign tumor

作　　者：李嘉根[1] 王卫军[1] 方钱[1] 李剑锋[1] 李传光[1] 金鹏飞[1] 李智涛[1] 郑燕国 

机构地区：[1]温岭市第一人民医院微创外科医学中心、温州医学院附属温岭医院微创外科医学中心,浙江省温岭317500 [2]温岭市第一人民医院麻醉科,浙江省温岭317500

出　　处：《中国基层医药》2010年第6期725-726,共2页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省医药卫生科学资助基金（浙卫2006A125）;浙江省温岭金桥工程重点项目（温金办2006001）

摘　　要：目的观察内镜下甲状腺良性肿瘤切除术的疗效。方法60例甲状腺良性肿瘤患者随机分为内镜组和传统组，每组各30例。比较两组的手术时间、失血量、引流量、术后住院时间、术后并发症、住院费用等。结果两组术后住院时间差异（P〉0．05）；内镜组失血量（25．3±15．6）m1，明显少于传统组的（57．2±33．8）ml（P〈0．05）；内镜组术后引流量（85．6±53．2）ml，明显多于传统组（23．5±37．2）ml（P〈0．05）；内镜组手术时间为（105．3±23．5）min，与传统组（80．4±25．3）min比较差异有统计学意义（P〈0．05）；住院费用内镜组明显高于传统组（P〈0．05）。两组术后均未发生明显并发症。结论与传统开放手术相比，良性甲状腺肿瘤的内镜手术具有美容、出血少等优点，是治疗该疾病一种很好的选择。Objective To observe the efficacy of endoscopic resection wiht thyroid benign tumor. Methods 60 cases of thyroid benign tumor were randomly divided into the endoscopic group and the traditional group, 30 cases in each group, the operation time, blood loss, drainage volume, postoperative hospital stay, postoperative complications and hospitalization expenses in two groups were compared. Results There was no significant difference （ P 〉 0. 05 ） between the two groups of postoperative hospital stay; endoscopic group blood loss （25.3± 15.6） ml significantly less than the traditional group （57. 2± 33.8） ml, the difference was statistically significant （P 〈 0. 05） ; endoscopic postoperative drainage volume （85.6 ± 53. 2） ml significantly more than the traditional group （23.5 ± 37.2） ml （P〈0. 05） ; endoscopic operative time of （ 105.3 ± 23.5） min, while the traditional group （80.4 ± 25.3 ） min, the difference was significant （ P 〈 0. 05 ） ; hospitalization costs were significantly higher than conventional endoscopy group （ P 〈 0. 05 ）. Both groups were not have obvious complications postoperation. Conclusion Compared with traditional open surgery, endoscopic surgery for benign thyroid tumors has advantages of superior cosmetic results and less bleeding,it is a good choice for the treatment of the disease.

关 键 词：甲状腺良性肿瘤 甲状腺切除术 内镜 

分 类 号：R73[医药卫生—肿瘤]