微创视频辅助下甲状腺切除术31例临床分析  

Clinical analysis of 31 cases undergoing minimally invasive video-assisted thyroidectomy

作　　者：徐海[1] 白明东[1] 赵严冬[1] 章密密[1] 

机构地区：[1]徐州医学院第二附属医院普通外科,221000

出　　处：《江苏医药》2011年第21期2555-2557,共3页Jiangsu Medical Journal

摘　　要：目的比较视频辅助下微创甲状腺切除术(MIVAT)与传统甲状腺切除术(CT)的效果。方法比较31例MIVAT(MIVAT组)和35例CT(CT组)的手术时间、切口长度、失血量、引流量、术后疼痛、美容满意度、术后住院时间和住院费用。结果两组手术时间、引流量无统计学差异(P>0.05),但MIVAT组在失血量、术后疼痛、美容满意度、术后住院时间等方面均优于CT组(P<0.05)。MIVAT组患者术中住院费用高于CT组(P<0.05)。结论与CT相比,MIVAT具有创伤小、术后疼痛轻微、恢复快、美容满意度高等优越性。Objective To compare the outcomes of minimally invasive video-assisted thyroidectomy（MIVAT） and conventional thyroidectomy（CT）.Methods MIVAT was performed in 31 patients（group A） and CT was carried out in 35 cases（group B）.The operative time,blood loss,drainage volume,pain intensity,cosmetic benefit,hospital stay and medical cost were compared between two groups.Results No significant differences were found in operative time and drainage volume between the two groups.But compared to group B,the patients in group A had less blood loss,lighter pain score,better cosmetic results and shorter postoperative hospital stay（P〈0.05）.The medical cost of group A was significantly higher than that of group B（P〈0.05）.ConclusionCompared to group B,MIVAT in selected patients has the advantages of minimal trauma,less postoperative pain,quicker recovery and satisfactory cosmetic results.

关 键 词：视频辅助微创甲状腺切除术 

分 类 号：R735[医药卫生—肿瘤]