甲状腺良性结节的腔镜手术技巧和方法探讨  

Exploration of approaches and clinical application of endoscopic thyroidectomy In the treatment of benign thyroid nodules

作　　者：范发明[1] 甄林林[2] 

机构地区：[1]江苏省淮安市第一人民医院普外科,江苏淮安223300 [2]江苏省淮安市第一人民医院甲乳外科,江苏淮安223300

出　　处：《实用临床医药杂志》2014年第16期85-87,共3页Journal of Clinical Medicine in Practice

基　　金：中国高校医学期刊临床专项资金(11321341)

摘　　要：目的探讨腔镜甲状腺手术(ET)治疗甲状腺良性结节的步骤和技巧。方法回顾性分析本院收治的80例甲状腺良性结节患者的手术临床资料,分析所有患者术后3、8、24 h的疼痛视觉模拟(VAS)评分及术后1个月颈部不适感发生率及切口满意度。结果 80例患者手术均获得成功,术后3、8、24 h的VAS评分为(2.3±0.6)分、(1.9±1.2)分、(1.2±0.5)分,与3hVAS评分比较,差异有统计学意义(P<0.05),且术后1个月患者的不适感发生率仅为5.0%,而切口满意度高达97.5%。结论腔镜甲状腺手术具有安全、高效、美观、切口小、疼痛轻等优点,通过熟练掌握相应的技巧能增加手术成功率。Objective To explore the procedures and practice of endoscopic thyroidectomy（ET） for patients with benign thyroid nodules. Methods The clinical surgical data of 80 patients with benign thyroid nodules were retrospectively analyzed,primary outcome was visual analogue scale（VAS） scores evaluated at 3,8 and 24 h after surgery,secondary outcomes were incidence of neck discomfort and satisfaction rate to incision. Results 80 cases completed the surgery,VAS scores at3,8 and 24 h after surgery were（2. 3 ± 0. 6）,（1. 9 ± 1. 2） and（1. 2 ± 0. 5） respectively,the score at 8 h and 24 h were significant lower than that at 8 h（P〈0. 05）. Additionally,1 month after surgery,the incidence of neck discomforts was only 5. 0% while the satisfaction rate to incision was 97. 5%.Conclusion Endoscopic thyroidectomy has several advantages including safety,high efficiency,good appearance,small incision and slight pain during surgery,the successful rate of surgery through proficient could be increased by proficiently master of skills.

关 键 词：甲状腺良性结节 腔镜手术 疼痛视觉模拟评分 超声刀 

分 类 号：R581[医药卫生—内分泌]