双侧乳晕入路腔镜甲状腺手术治疗良性甲状腺疾病临床效果观察  

The Clinical Effect of Endoscopic Thyroidectomy Through Bilateral Mammary Areola Treatment for Benign Thyroid Disease

作　　者：肖光云[1] 王红梅[1] 罗德富[1] 

机构地区：[1]四川省都江堰市医疗中心外三科,四川都江堰611830

出　　处：《河北医学》2014年第1期74-77,共4页Hebei Medicine

摘　　要：目的:观察双侧乳晕入路腔镜甲状腺手术治疗良性甲状腺疾病的疗效。方法:选取2010年1月至2012年1月在我院行双侧乳晕入路腔镜甲状腺切除术患者165例为观察组研究对象,另选2009年1月至2009年12月在我院行传统开放手术甲状腺切除术患者162例为对照组。比较两组患者的临床效果。结果:观察组患者手术时间长于对照组,术后引流量多于对照组,比较差异无统计学意义(P>0.05);观察组术中出血量(50.3±10.4mL)少于对照组(100.7±20.6mL),住院时间6.8±1.4d短于对照组(10.3±2.1d),比较差异有统计学意义(P<0.05)。观察组术后IL-6水平(21.45±1.42)和TNF-α(26.58±1.62)明显低于对照组(36.36±1.45,35.51±1.53),比较差异有统计学意义(P<0.05)。观察组患者术后并发症发生率(3.03%)明显小于对照组(6.17%),比较差异有统计学意义(P<0.05)。观察组患者术后对美容效果满意度(8.9±0.8)高于对照组(4.2±0.4),比较差异有统计学意义(P<0.05)。结论:双侧乳晕入路腔镜甲状腺手术术中出血量较少,对患者创伤较小,术后并发症发生率较低,尤其是美容效果明显优于开放手术,值得推广。Objective：To observe the clinical effect of endoscopic thyroidectomy through bilateral mam-mary areola treatment for benign thyroid disease.Methods：From Jan.2010 to Jan.2012, 165 patients with benign thyroid disease were selected as research object of the observation group, and from Jan.2009 to Dec. 2009 , 162 patients underwent traditional open surgery were selected as research object of the control group . The clinical effect of the two groups were contrasted .Results： The operation time of observation group was longer than that in the control group , the postoperative lead flow was more than that in control group , the difference was not statistically significant （P〉0.05）;The blood loss of observation group（50.3±10.4mL） was less than that in control group （100.7 ±20.6 mL）, the length of hospital stays time （6.8 ±1.4 d ） was shorter than of the control group （10.3 ±2.1 d）, the difference was statistically significant （P〈0.05）. The level of postoperative IL-6 （21.45 ±1.42） and TNF-α（26.58 ±1.62） of the observation group was significantly lower than that in control group （36.36 ±1.45, 35.51 ±1.53）, the difference were statistically significant （P〈0.05）.The rate of postoperative complications of the observation group （3.03%） was much less than that in control group （6.17%）, the difference was statistically significant （P〈0.05）.The cosmet-ic effect satisfaction of observation group （8.9 ±0.8） was higher than those of the control group （4.2 ±0. 4）, the difference was statistically significant （P〈0.05）.Conclusion： In the endoscopic thyroidectomy through bilateral mammary areola, the blood loss is less, the rate of postoperative complication is lower, es-pecially the cosmetic effect satisfaction is better than open surgery , so endoscopic thyroidectomy through an-terior chest wall is worthy to be popularized .

关 键 词：良性甲状腺疾病 双侧乳晕入路 腔镜甲状腺切除术 炎性因子 

分 类 号：R653[医药卫生—外科学]