传统开放甲状腺切除术与腔镜甲状腺切除术治疗甲状腺良性疾病的临床效果比较  

Comparison of the clinical efficacy between conventional open thyroidectomy and endoscopic thyroidectomy in treatment of benign diseases of thyroid

作　　者：莫凯迪[1] 杨建荣[1] 李碧锦[1] 何二松[1] 许宇彪[1] 林昌荣[1] 唐毅[1] 潘颐聪 李军[1] 凌凯南[1] 季志强[1] 

机构地区：[1]广西壮族自治区江滨医院普通外科,南宁530021

出　　处：《中国临床新医学》2017年第6期543-546,共4页CHINESE JOURNAL OF NEW CLINICAL MEDICINE

摘　　要：目的比较传统开放甲状腺切除术与腔镜甲状腺切除术治疗甲状腺良性疾病的临床效果。方法95例甲状腺良性疾病患者根据手术方式不同分为腔镜组55例和开放组40例,分别采用经乳晕入路腔镜甲状腺手术和传统开放甲状腺手术治疗。结果两组手术均能顺利完成。与开放组比较,腔镜组美容满意度较高、手术时间短、术中出血量少、术后住院时间短、住院费用高,差异有统计学意义(P<0.01)。两组术中、术后均未发生明显并发症。结论经乳晕入路腔镜甲状腺切除术具有美容效果显著、手术创伤小、术后恢复快、术后住院时间短等优势。Objective To compare the curative effects and hospitalization costs between conventional open thyroidectomy and endoscopic thyroidectomy in treatment of benign diseases of thyroid. Methods Ninety-five patients with benign diseases of thyroid were divided into two groups according to the different surgical procedures. The endoscope group（ n = 55 ） received endoscopic thyroidectomy via mammary areola approach, and the conventional open thyroidectomy group（ n = 40） received traditional open thyoidectomy. Results All the operations in both of the two groups were successful. Compared with the conventional open thyroidectomy group, the endoscope group had a higher rate of beauty satisfaction. The amount of bleeding during operation was less, the hospital stay was shorter and the hospitalization costs were higher in the endoscope group than those in the conventional open thyroidectomy group（P 〈 0. 01 ）. There were no severe complications during operation or after operation in both of the two groups. Conclusion Endoscopic thyroidectomy via mammary areola approach has such advantages as higher rate of beauty satisfaction, less operative injury, faster recovery and shorter hospital stay in treatment of benign diseases of thyroid.

关 键 词：甲状腺良性疾病 乳晕入路 腔镜 甲状腺切除术 

分 类 号：R581[医药卫生—内分泌]