不同术式治疗甲状腺良性肿瘤的临床观察  

A Comparison of Three Thyroidectomy Approaches in the Treatment on Benign Thyroid Nodules

作　　者：周晓刚[1] 柳杰[1] 徐峰[1] 高旭升[1] 张春宇[1] 

机构地区：[1]昌吉州人民医院普外一科,新疆昌吉831100

出　　处：《新疆医学》2016年第8期974-976,共3页Xinjiang Medical Journal

摘　　要：目的比较不同术式治疗甲状腺良性肿瘤的临床效果。方法单侧甲状腺良性肿瘤患者105例。患者自主选择手术方式,分为三组:COT组(传统手术方法组)32例,EAT组(腔镜辅助颈部小切口组)39例和ET组(双侧乳晕入路腔镜组)34例。比较三组患者的手术时间、术中出血量、术后血清IL-6、TNF-α水平、术后并发症及患者对美容效果主观满意度。结果与COT组比较,EAT组和ET组出血量明显减少(P<0.05),但手术操作时间较长(P<0.05);COT组和EAT组各发生1例声音嘶哑,ET组发生1例皮下气肿;患者总体满意度,EAT组和ET组明显高于COT组(P<0.05)。三组炎性因子比较差异无统计学意义(P>0.05)。结论全腔镜甲状腺手术术中出血量较少,对患者创伤较小,美容效果明显优于开放手术,值得推广。Objective To observe the clinical effect of three thyroidectomy approaches in the treatment on benign thyroid nodules. Methods According to operation ways, 105 patients were divided into three groups： Group COT（n=32）, group EAT（n=39） and group ET （n=34）. The clinical effect of three groups was compared. Results The operation time of group EAT and group ET was longer than that of group COT （P〈0.05）. The blood loss of group EAT and group ET was less than that of group COT （P〈0.05）. The level of postoperative IL-6 and TNF-α was not statistically significant different among three groups （P〉0.05）. Conclusion Endoscopic thyroidectomy is a feasible and safe approach with advantages of small incision, less bleeding, high degree of satisfaction and certain cosmetic effects.

关 键 词：甲状腺良性肿瘤 腔镜甲状腺切除术 炎性因子 

分 类 号：R615[医药卫生—外科学]