甲状腺腔镜手术与开放性手术的比较  

Comparison of Thyroid Laparoscopic Surgery and Open Surgery

作　　者：江泽宇 李常明 翁世廉 黄子团 

机构地区：[1]来宾市人民医院心胸甲状腺乳腺外科,广西来宾546100

出　　处：《医学与哲学（B）》2013年第5期18-20,72,共4页Medicine & Philosophy(B)

摘　　要：通过探讨腔镜甲状腺手术与开放甲状腺手术之间的差异,正确选择手术方式,回顾分析2008年6月至2013年2月在我院的162例行腔镜甲状腺手术患者与162例行开放甲状腺手术患者,比较住院时间、住院费用、手术时间、术中出血量、引流管引流总量、引流管拔管时间及术后并发症情况。结果162例腔镜手术均成功完成,无一例中转开放手术,腔镜手术住院时间、住院费用、手术时间、术中出血量、引流管引流总量均较开放手术多,术后1例发生短暂性喉返神经麻痹,14例胸部皮肤感觉麻木。因此,开放与腔镜甲状腺手术都是安全可靠的,腔镜手术具有确切的美容效果,但不是首选术式,不应盲目扩大腔镜手术群体,把握腔镜手术对象,以患者实际情况为出发点,以开放手术为主,节约医疗资源。To investigate the difference between the endoscopic thyroid surgery and open thyroid surgery, to guide the correct selec- tion of operation method, retrospective analysis was done from June 2008 to February 2013 for 162 patients underwent endoscopic thyroid surgery and open lines of 162 cases of thyroid surgery the patient＇s hospitalization time, cost of hospitalization, surgery time, blood loss, drainage tube drainage and surgery complications after comparison. 162 cases of laparoscopic surgery were com- pleted successfully, without conversions to open operation, laparoscopic surgery hospital stay, cost of hospitalization, operative time, blood loss, drainage tube cited traffic than open, 1 case posvop had transient recurrent laryngeal nerve paralysis, 14 cases of pleural skin numbness. Open operation and endoscopic thyroid operation is safe and reliable, laparoscopic surgery the exact cos- metic results, but not preferred surgery, blind expansion of laparoscopic surgery group, to patients actual situation as a starting point, open surgery, save medical resources and avoid waste.

关 键 词：甲状腺切除术 内窥镜外科手术 对比研究 

分 类 号：R653[医药卫生—外科学]