探讨经乳晕入路腔镜下甲状腺手术与传统开放手术的临床对比研究  

Comparison on the Clinical Effect of Endoscopic Thyroidectomy Via Thyroidectomy and Conventional Open Surgery

作　　者：李小东[1] 刘大伟[1] 张洪超[1] 金英朝[1] 王海宽[1] 刘志强[1] 吕海旭[1] 

机构地区：[1]黑龙江省医院普外科,黑龙江哈尔滨150036

出　　处：《中国卫生标准管理》2017年第14期50-52,共3页China Health Standard Management

摘　　要：目的对经乳晕入路腔镜下甲状腺手术与传统开放手术的临床疗效差异性进行比较分析。方法 2013年2月—2014年2月我院对53例甲状腺结节患者进行了研究分析,观察组接受经乳晕入路腔镜下甲状腺部分或次全切手术,对照组使用传统开放手术,对两组的治疗效果和并发症情况进行分析。结果观察组有1例出血,1例低血钙患者,并发症几率是6.89%,对照组有2例出血,1例低血钙,2例肺炎,1例甲减,并发症几率是25.00%,两组并发症发生率对比存在统计学差异(P<0.05),两组的手术时间、术中出血、术后恢复时间、镇痛药物使用、住院时间等差异存在统计学意义,观察组较为优秀(P<0.05)。结论甲状腺结节患者接受经乳晕入路腔镜下手术治疗出血量少,并发症几率低,安全可靠,临床中值得推广使用。Objective To compare and analyze the clinical efficacy of endoscopic thyroidectomy via the areola approach and conventional open surgery. Methods 53 patients with thyroid nodules from February 2013 to February 2014 in our hospital were analyzed, the observation group received via breast approach endoscopic thyroidectomy or subtotal surgery, the control group used the traditional open surgery, the treatment effect and complications of two groups were analyzed. Results In the observation group, 1 case of hemorrhage, 1 case of patients with hypocalcemia, complication rate was 6.89%, the control group had 2 cases of hemorrhage,1 case of hypocalcemia, 2 cases of pneumonia, 1 case of hypothyroidism,complication rate was 25.00%, there was significant difference between the two groups in complications（P 〈 0.05）, there were significant difference between the two groups in the operative time, bleeding in operation, the recovery time, analgesic use, hospitalization time, the observation group was excellent than the control group（P 〈 0.05）. Conclusion The patients with thyroid nodules undergoing endoscopic approach via areola approach have less bleeding and low complication rate. They are safe and reliable and worth popularizing in clinical practice.

关 键 词：甲状腺结节 经乳晕入路 开放手术 

分 类 号：R653[医药卫生—外科学]