腔镜甲状腺手术与常规开放手术的对照研究  

Control Study of Total Endoscopic Thyroidectomy vs Conventional Open Thyroidectomy

作　　者：高友兵[1] 刘勇[1] 张翌[1] 蔡逊[1] 

机构地区：[1]广州军区武汉总医院普通外科,湖北武汉430070

出　　处：《医学临床研究》2012年第1期84-85,共2页Journal of Clinical Research

摘　　要：[目的]比较腔镜甲状腺手术与常规开放手术之间的临床效果,探讨腔镜甲状腺手术的实用性.[方法]72例患者分别采用腔镜下甲状腺手术和常规开放式手术,对两者患者的手术时间、术后引流量、手术并发症、患者对切口的满意度进行比较.[结果]两组患者平均手术时间、手术并发症均无显著性差异（ P 〉0.05）,腔镜手术组术后引流量较开放手术组减少（ P 〈0.05）,腔镜手术组对美容效果的满意度明显优于开放手术组（ P 〈0.05）.[结论]腔镜甲状腺手术美容效果明显,具有创伤小、恢复快等优点.[Objective]To compare the differences between total endoscopic thyroidectomy（TET） and conventional open thyroidectomY（TOT） and explore the feasibility of TET. [Methods]Totally 72 patients un- derwent TET and TOT, respectively. The operative time, postoperative drainage volume, operative complica- tions and the degree of satisfaction for the incision were compared between two groups. [Results] There was no significant difference in mean operative time and complications between two groups（ P〉0.05）. Compared with TOT group, the drainage volume in TET group reduced（ P 〈0.05）. The degree of satisfaction for cos- metic result in TET group was obviously better than that in COT group（ P〈0. 05）. [Conclusion] TET has obvious effect of cosmetic result and advantages such as minimal invasion and quick recovery.

关 键 词：甲状腺/外科学 

分 类 号：R653[医药卫生—外科学]