胸乳入路腔镜甲状腺手术与传统手术治疗甲状腺疾病的优劣分析  

Advantages and disadvantages analysis of breast approach endoscopic thyroidectomy and traditional operation in treating thyroid disease

作　　者：李力农[1] 赵汉鹏[1] 朱锦腾[1] 马腾飞[1] 沈益君[1] 林介贤 

机构地区：[1]深圳市宝安区中医院外一科,广东深圳518133

出　　处：《中国当代医药》2017年第1期52-54,共3页China Modern Medicine

摘　　要：目的探讨胸乳入路腔镜甲状腺手术与传统手术治疗甲状腺疾病的效果差异。方法将2012年3月~2015年12月在我院进行胸乳入路腔镜甲状腺手术的49例患者作为实验组,并与同期进行传统手术治疗甲状腺疾病的35例患者作为对照组。观察两组患者手术相关资料、术后并发症以及患者对切口美容的满意度。结果实验组与对照组术中出血量分别为(15.98±8.80)ml和(25.01±7.54)ml,差异有统计学意义(P<0.01);另外实验组术后24 h引流量也明显少于对照组(P<0.01),住院时间显著短于对照组(P<0.01),但是实验组患者平均住院费用要明显多于对照组(P<0.01)。实验组并发症发生率为24.49%,与对照组的28.57%比较,差异无统计学意义(P>0.05)。实验组和对照组患者对术后美容效果满意率分别为97.96%(48/49)和14.29%(5/35)(χ~2=61.388,P<0.05)。结论经胸乳入路腔镜甲状腺手术对患者造成的创伤较小,患者住院时间短,术后恢复快,且切口美容效果较好,对于经济条件允许的患者,可以建议作为最佳选择。Objective To explore the effect difference of breast approach endoscopic thyroidectomy and traditional operation in treating thyroid disease.Methods 49 patients who conducted breast approach endoscopic thyroidectomy in our hospital from March 2012 to December 2015 were selected as experimental group,35 patients who conducted traditional operation at the same term were selected as control group.Operation related data,postoperative complications and patients′ satisfaction to incision in two groups were observed.Results Intraoperative blood loss in the experimental group and the control group was respectively（15.98±8.80）,（25.01±7.54） ml,and the difference was statistical significance（P〈0.01）;24 h indue ed flow volume after operation in the experimental group was obvious less than that in the control group（P〈0.01）;length of hospital stay was obviously shorter than that in the control group（P〈0.01）,but average hospitalization expenses in the experimental group was obviously more than that in the control group（P〈0.01）.Incidence rate of complicatio ns in the experimental group was 24.49%,which had no obvious difference with 28.57% in the control group（P〉0.05）.Patients′ satisfaction to incision in the experimental group and the control group was respectively97.96%（48/49） and 14.29%（5/35）（χ^2=61.388,P〈0.05）.Conclusion Breast approach endoscopic thyroidectomy has less trauma on patients,shorter length of hospital stay,faster postoperative recovery and with better incision cosmetic effect.For patients with economic conditions permit,it can be recommended as the best choice.

关 键 词：腔镜手术 甲状腺疾病 传统手术 胸乳入路 

分 类 号：R653[医药卫生—外科学]