内镜下甲状腺手术临床实践应用效果观察  

Endoscopic Thyroid Surgery Clinical Practice Application Effect Observation

作　　者：夏非[1] 华清泉[1] 江洋[1] 

机构地区：[1]武汉大学人民医院耳鼻咽喉头颈外科,湖北武汉430060

出　　处：《湖北科技学院学报（医学版）》2016年第1期15-17,共3页Journal of Hubei University of Science and Technology(Medical Sciences)

摘　　要：目的探讨内镜下甲状腺手术的临床应用以及术后效果。方法回顾性分析52例甲状腺手术患者临床资料,其中内镜组27例与同期行传统组25例进行比较。结果经比较两组患者在手术时间、术后住院时间、术中出血量、术后疼痛及美容效果两组差异有统计学意义(P均<0.05)。内镜组患者对手术美容效果满意率96.29%,明显高于传统组。结论内镜甲状腺手术通过腔镜放大手术视野,可对甲状旁腺及喉返神经精确辨别,具有效果好、切口小及损伤小、患者满意率高的特点,值得临床推广应用。Objective To study the clinic applications and post-surgery effects of endoscopic thyroidectomy. Methods retrospective analysis the clinical date of 52 thyrophyma patients,comparison the differences of27 endoscopic thyroidectomy and 25 conventional thyroidectomy. Results There have no significant difference between the two groups in injury of superior laryngeal nerve and recurrent laryngeal nerve,the satisfication rate of cosmetic effect in endoscopic thyroidectomy group is 96. 29%,which is obviously high than the tradition group. The operative time、intraope rative blood loss 、hospital stay and pain post surgery of two groups have statistical difficance（ P 〉 0. 05）. Conclusion The endoscopic thyroidectomy amplify vision sphere of surgery through endoscope,makes a more accurate identification of parathyroid glands and recurrent laryngeal nerve,which contributes to better surgrey effect、shorter scar、minimal injury and higher satisfication rate. It is worth for clinic popularization and applification.

关 键 词：内镜甲状腺手术 常规甲状腺手术 疗效 满意率 

分 类 号：R653[医药卫生—外科学]