微创腔镜在甲状腺切除术中的临床应用及护理  

Clinical application and nursing by minimally invasive endoscopic in thyroid resection

作　　者：沈敏[1] 顾建芬[1] 董钰英[1] 

机构地区：[1]浙江省绍兴市人民医院乳腺甲状腺科,312000

出　　处：《中华全科医学》2014年第7期1143-1144,共2页Chinese Journal of General Practice

摘　　要：目的分析微创腔镜在甲状腺肿瘤切除术中的临床应用效果,观察术中及术后情况,总结护理对策。方法将绍兴市人民医院2010年10月—2013年10月收治的380例甲状腺肿瘤患者按照随机数字表法分为观察组与对照组各190例,分别应用传统手术与微创腔镜辅助手术进行甲状腺切除,并给予患者常规护理,对术后出血、喉返神经损伤、甲状旁腺损伤等给予相应护理,观察2组患者术中出血量、手术切口长度、手术时间及术后并发症。结果微创腔镜辅助组患者的术中出血量为(12±3)ml,手术切口长度为(2.1±0.8)cm,术后并发症15例(占3.95%),以上指标均显著优于对照组,差异有统计学意义(P<0.05);微创腔镜辅助组手术时间为(95±30)min,稍长于传统手术组,但差异无统计学意义(P>0.05)。结论微创腔镜切除甲状腺肿瘤具有术中出血量少、术后并发症少等优点,结合相应的护理措施有利于患者术后恢复,提高患者生活质量,值得在临床广泛推广应用。Objective To analyze the clinical application of minimally invasive endoscopic,to observe intraoperative and postoperative situation and summarize nursing measures. Methods 380 cases of thyroid cancer patients from October 2010 to October 2013 in our hospital were randomly divided into observation group and control group,with 190 cases in each. Respectively giving the traditional surgery and minimally invasive endoscopic assisted thyroidectomy surgery of the patients and care measures such as postoperative bleeding,recurrent laryngeal nerve injury,damage to the parathyroid of the two groups. Blood loss,length of incision,operation time and postoperative complications of the patients were observed. Results The blood loss in the observation group was（ 12 ± 3） ml,incision length was（ 2. 1 ± 0. 8） cm,postoperative complications was 15 cases（ accounting 3. 95%）,the above were better than the control group,the difference was statistically significant（ P〈0. 05）; the operative time of minimally invasive endoscopic assisted was（ 95 ± 30） min,which was a little longer than the control group,but the difference was no statistically significant（ P〉0. 05）. Conclusion Minimally invasive endoscopic resection of thyroid tumors had less blood loss and fewer complications,combining with appropriate nursing interventions was good for recovery and life quality,which was worthy of widely using in clinical application.

关 键 词：微创腔镜 甲状腺切除术 护理 

分 类 号：R473.6[医药卫生—护理学] R616.5[医药卫生—临床医学]