经乳晕入路腔镜与开放甲状腺切除术治疗良性甲状腺病变的对比分析  

A Comparison of Endoscopic Thyroidectomy via Mammary Areola Approach versus Open Thyroidectomy for Treatment of Benign Thyroid Tumor

作　　者：张涌泉[1] 许景洪[1] 黄文文[1] 李立志[1] 甘雨[1] 唐毓林[1] 

机构地区：[1]广西医科大学附属民族医院普外科,南宁市530001

出　　处：《广西医学》2014年第6期742-744,共3页Guangxi Medical Journal

基　　金：广西崇左市科学研究与技术开发计划项目(13042305)

摘　　要：目的比较经乳晕入路腔镜与开放甲状腺切除术治疗良性甲状腺疾病的可行性和手术效果。方法 80例良性甲状腺疾病患者按手术方式不同分为腔镜组40例和开放组40例,分别采用经乳晕入路腔镜甲状腺切除术、传统开放性甲状腺切除术治疗。结果两组均顺利完成手术。与开放组比较,腔镜组手术时间短、术中出血量少、术后引流量少、术后住院时间短(P<0.05);两组术后均未发生明显并发症。两组随访时间为6个月,腔镜组患者均对手术的美容效果满意。开放组患者均认为手术瘢痕裸露影响美观。结论经乳晕入路腔镜甲状腺切除术具有手术时间短、出血量少、安全可靠、术后恢复快、美容效果好等优势。Objective To compare the feasibility and operation result of endoscopic thyroidectomy via mammary areola approach versus open thyroidectomy for treatment of benign thyroid tumor .Methods Eighty patients with benign thyroid tumor were divided into two groups according to the operation method .Forty cases in the endoscope group received endoscopic thyroidectomy via mammary areola approach , and forty cases in the open operation group received traditional open thyoidectomy .Results Both groups succeeded in the operation .Compared with the open operation group,the endoscope group showed less bleeding during operation ,less drainage and shorter hospital stay after operation（P〈0.05）.There were no severe complications after operation in two groups .All patients in two groups were followed up for 6 months.The patients in the endoscope group were satisfied with the cosmetic result of the operation . The operation scars of patients in the open operation group were naked ,which affected the cosmetic result of the operation . Conclusion Endoscopic thyroidectomy via mammary areola approach has such advantages as less operation time,less bleeding during operation ,safe and reliable ,quickly postoperative recovery and ideal cosmetic results.

关 键 词：甲状腺疾病 乳晕入路 腔镜 甲状腺切除术 

分 类 号：R381[医药卫生—医学寄生虫学]