改良胸骨前径路、乳晕径路与传统甲状腺手术的临床对比研究  

Clinical comparative study of sternum path, areola path and traditional thyroid operation

作　　者：阮立为[1] 黄黎明[1] 

机构地区：[1]浙江省绍兴市人民医院乳腺甲状腺外科,绍兴312000

出　　处：《中华内分泌外科杂志》2014年第3期230-232,共3页Chinese Journal of Endocrine Surgery

摘　　要：目的 观察改良胸骨前及乳晕径路腔镜甲状腺手术的可行性、安全性和有效性,进一步推动腔镜技术在甲状腺外科治疗中的应用.方法 选取2009年7月至2011年7月在绍兴市人民医院接受腔镜手术治疗的甲状腺疾病72例和传统甲状腺手术治疗的36例为研究对象,对其手术资料、术后恢复和患者满意度行对比分析.结果 除手术时间外,腔镜手术的2组患者各项观察指标均优于传统甲状腺手术组（P＜0.05）;改良胸骨前径路组手术时间、皮瓣游离面积、皮下隧道建立时间、术后24h视觉模糊评分（visual analogy scale,VAS）得分等均优于乳晕径路组（P＜0.05）;术中出血量、住院时间、患者满意度等2组差异无统计学意义（P＞0.05）.结论 腔镜手术无论在治疗效果还是满足患者美容诉求方面,均优于传统甲状腺手术.从路径选择来看,改良胸骨前径路手术要略优于乳晕径路,临床上需根据患者具体情况,选择最佳的手术方式和路径.Objective To investigate the feasibility,safety and efficacy of endoscopic thyroid surgery and the traditional surgical method,in order to further promote the application of endoscopic technology in thyroid surgery.Methods 72 patients from July 2009 to July 2011 in Shaoxing City People＇s Hospital undergoing endoscopic surgical treatment and 36 cases treated by traditional thyroid surgery were collected,and the surgical data,recovery-conditions and patients＇ satisfaction were analyzed.Results Except the operation time,the observed indicators of the two laparoscopic groups were superior to those of the conventional thyroid group（P ＜ 0.05）.The operation time,flap area,subcutaneous tunnel set-up time,postoperative 24 h visual analogy scale （VAS） score of the sternum group were superior to the areola path group （P ＜ 0.05）.The difference of intraoperative blood loss,hospital stay,patient＇s satisfaction for the 2 groups had no statistical significance（P ＞0.05）.Conclusions Laparoscopic surgery is superior to conventional thyroid surgery in treatment effects and patients＇ satisfaction.As for the surgical path,sternum path is slightly superior to the areola path.Surgeons should choose the best surgical approach and the path according to patients＇ specific conditions.

关 键 词：腔镜 甲状腺 手术 

分 类 号：R653[医药卫生—外科学]