腔镜辅助颈部小切口手术治疗甲状腺疾病的效果  

Effect of minimally invasive endoscopic-assisted thyroidectomy in treatment of benign thyroid nodules

作　　者：王欣[1] 张雪鹏[2] 

机构地区：[1]河北联合大学附属医院曹妃甸区医院放射科,河北唐山063200 [2]河北联合大学附属医院肿瘤外科,河北唐山063000

出　　处：《中国医药导报》2015年第12期86-88,共3页China Medical Herald

基　　金：河北省科技计划项目(编号13277768D)

摘　　要：目的：探讨腔镜辅助颈部小切口手术治疗甲状腺疾病的效果。方法选择2009年1月～2014年10月河北联合大学附属医院曹妃甸区医院收治的单侧甲状腺良性肿瘤患者87例，按手术方法，分为传统组（41例）和腔镜组（46例）。传统组采用传统开放式方法行单侧甲状腺部分切除术，腔镜组采用腔镜辅助颈部小切口甲状腺手术。比较两组患者的手术时间、术中出血量、术后24 h视觉模拟评分（VAS）、术后引流量、手术并发症、住院费用及切口美容VAS评分。结果传统组与腔镜组手术时间、手术并发症比较[（72.1±24.8）min比（83.7±25.6）min，4.9%比2.2%]，差异均无统计学意义（P〉0.05）。与传统组比较，腔镜组患者术中出血量少，术后引流量少，住院费用高[（27.0±12.9）mL比（49.1±23.8）mL，（30.9±7.9）mL比（80.9±16.2）mL，（9805.3±700.8）元比（8690.8±630.6）元]，差异均有统计学意义（P〈0.05）；术后24 h VAS评分低、切口美容VAS评分高[（3.1±1.4）分比（5.2±2.0）分，（7.9±0.7）分比（2.0±0.8）分]，差异均有统计学意义（P〈0.05）。结论腔镜辅助下的甲状腺手术充分体现了美容、微创的优势，是一种安全、可靠的甲状腺手术方式。Objective To discuss the effect of minimally invasive endoscopic-assisted thyroidectomy （EAT） in the treat-ment of benign thyroid nodules. Methods From January 2009 to October 2014, in Caofeidian Affiliated Hospital of Hebei United University, 87 patients with one-side benign thyroid nodules were divided into tradition group （n=41） amd EAT group （n=46）, according to the operation method. EAT group was treated with minimally invasive endoscopic-assisted thyroidectomy and tradition group was treated with conventional open thyroidectomy. The duration of operation, intraoperative blood loss, visual analog scores （VAS） for paln severity, volume of dralnage, occurrence of postoperative complications, hospital expense, VAS for cosmetic were compared in two groups respectively. Results The duration of operation, occurrence of postoperative complications of tradition group and EAT group were compared [（72.1±24.8） min vs （83.7±25.6） min, 4.9% vs 2.2%], the differences were not statistically significant （P〉 0.05）. Compared with tradition group, intraoperative blood loss, volume of dralnage were less, hospital expense was more in EAT group [（27.0±12.4） mL vs （49.1±23.8） mL, （30.9±7.9） mL vs （80.9±16.2） mL, （9805.3±700.8） yuan vs （8690.8±630.6） yuan], the differences were statistically significant （P〈0.05）;VAS for paln severity was lower, VAS for cosmetic was higher [（3.1±1.4） scores vs （5.2±2.0） scores, （7.9±0.7） scores vs （2.0±0.8） scores], the differences were statistically significant （P〈0.05）. Conclusion EAT is a safe and feasible thyroid surgery, which fully reflects the advantages of minimally invasive and cosmetic effect.

关 键 词：甲状腺疾病 腔镜 外科手术 

分 类 号：R653[医药卫生—外科学]