内镜下经腋窝单孔和双乳晕同侧腋窝路径甲状腺手术效果分析  

Thyroidectomy via endoscopic trans-axillary single port and bilateral breast of ipsilateral axillary approach

作　　者：罗勋鹏[1] 刘新杰[1] 许楠[1] 

机构地区：[1]深圳市人民医院甲状腺乳腺外科,518020

出　　处：《中华普外科手术学杂志（电子版）》2016年第2期156-158,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的探讨内镜下经腋窝单孔甲状腺手术和内镜下双乳晕同侧腋窝路径甲状腺手术临床效果。方法回顾性分析2013年7月至2015年7月收治的40例内镜下经腋窝单孔甲状腺手术（TASPET组）和40例内镜下双乳晕同侧腋窝路径甲状腺手术（BBIAA组）患者临床资料,采用SPSS20.0软件分析,手术时间、术中出血量、手术分离皮瓣面积、术后1 d的引流量、术后1 d的视觉可视化评分量表（VAS评分）、术后1 d的CRP水平、体温、住院天数等计量资料以x珋±s表示,采用t检验;术后并发症发生率等计量资料采用χ^2检验。P〉0.05）。术后并发症发生率BBIAA组患者为2.6%（1/38）,TASPET组为16.2%（6/37）,显著低于TASPET组（χ^2=4.088,P〈0.05）。结论内镜下双乳晕同侧腋窝路径甲状腺手术手术更为简单、术后恢复快,具有临床应用价值。Objective To compare the results of thyroidectomy via endoscopic trans-axillary single port and bilateral breast of ipsilateral axillary approach. Methods We retrospectively analyzed 40 patients who underwent thyroidectomy via endoscopic trans-axillary single port approach（ TASPA） and 40 patients who underwent endoscopic bilateral breast of ipsilateral axillary approach（ BBIAA） from June 2013 to June2015. SPSS 20. 0 software was used to analyze the clinical data. Measurement data like operation time,bleeding volume,postoperative drainage volume,VAS score at one day after operation,CRP level,body temperature,duration of hospital stay were examined by Student＇s t test. Count data like adverse reaction rate were examined by the Chi-square test. P 〈 0. 05 was considered as statistically significant. Results The drainage volume,serum level of CRP at one day after surgery,duration of hospital stay in the BBIAA group were significantly lower than those in the TASPA group（ P 〈 0. 05）. There was no significant difference in operation time,VAS score and body temperature between the two groups（ P 〈 0. 05）. The incidence of postoperative complications in the BBIAA group was 2. 6%（ 1 /38） which was less than 16. 2%（ 6 /37） in the TASPA group（ χ~2= 4. 088,P 〈 0. 05）. Conclusion Thyroidectomy via bilateral breast of ipsilateral axillary approach is simple and effective and has a faster postoperative recovery.

关 键 词：甲状腺肿瘤 内窥镜检查 甲状腺切除术 

分 类 号：R653[医药卫生—外科学]