经口腔前庭内镜下甲状腺癌根治术  

Radical thyroidectomy through oral vestibule endoscopy

作　　者：董朝[1] 吴军[1] 刘春生[1] 马斌林[1] DONG Chao, WU Jun, LIU Chunsheng, MA Binlin(Department of Breast and Head-Neck Surgical Ontology, Affiliated Tumou Hospital, Xinjiang Medical University, Urumqi 830011, China)

机构地区：[1]新疆医科大学附属肿瘤医院乳腺头颈外科,乌鲁木齐830011

出　　处：《新疆医科大学学报》2018年第11期1388-1390,1395,共4页Journal of Xinjiang Medical University

基　　金：新疆维吾尔自治区自然科学基金(2017D01C410)

摘　　要：目的探讨经口腔前庭入路腔镜技术在甲状腺癌治疗中的临床应用。方法回顾性分析100例2016年1月-2017年2月在新疆医科大学附属肿瘤医院行甲状腺癌根治术患者的临床资料,根据手术方式分为经口腔前庭入路腔镜组及开放组各50例,比较2组患者手术期相关临床指标、术后并发症情况。结果与开放组比较,经口腔前庭入路腔镜组术中出血量少,术后引流量少,术后疼痛感轻,患者满意度高,颈部Ⅵ区淋巴结清扫数量多,术后并发症低(P <0.05)。结论运用口腔前庭入路腔镜甲状腺癌技术行甲状腺全切加颈部Ⅵ区淋巴结清扫更彻底,具有明显优势,常见并发症的发生率低。Objective To explore the clinical application of endoscopy in the treatment of thyroid carcinoma. Methods A retrospective analysis of the clinical data of 100 patients underwent adical thyroidectomy in our hospital for the last 2 years, According to the surgical methods, the patients were divided into the endoscope group and the open group, Comparison of the clinical indexes and postoperative complications of the 2 groups of patients were performed during the operation period. Results Compared with the open group, there was significantly less bleeding volume, less postoperative drainage volume, lighter postoperative pain, higher patient satisfaction, more lymph node dissection in neck Ⅵ area and lower postoperative complications than those of open group （P 〈0.05）. Conclusion The application of transpalatal approach endoscopic technique for radical thyroidectomy and neck region Ⅵ lymph node, has obvious advantages, the incidence of common complications was decreased.

关 键 词：经口腔前庭入路 甲状腺癌 Ⅵ区淋巴结清扫 

分 类 号：R653[医药卫生—外科学]