腔镜辅助甲状腺切除手术在分化型甲状腺癌患者治疗中的应用分析  

Application of Laparoscopic Assisted Thyroidectomy in the Treatment of Patients with Differentiated Thyroid Cancer

作　　者：单孝军[1] 付彧[1] 张艳 王红岩[1] SHAN Xiao-jun;FU Yu;ZHANG Yan;WANG Hong-yan(Department of General Surgery,Section Three,Hospital of Daqing Oilfield,Daqing,Heilongjiang Province,163001 China)

机构地区：[1]黑龙江省大庆油田总医院普外三科,黑龙江大庆163001

出　　处：《中外医疗》2020年第2期44-45,61,共3页China & Foreign Medical Treatment

摘　　要：目的探讨腔镜辅助甲状腺切除手术在分化型甲状腺癌患者治疗中的应用分析。方法方便选取该院于2018年1—12月期间就诊治疗的80例分化型甲状腺癌患者展开研究,按照患者不同治疗方法划分为各自40例。对照组患者行开放性甲状腺切除术治疗,观察组患者行腹腔镜辅助甲状腺切除手术治疗,对比分析两组患者的临床治疗成效以及术中出血量等情况。结果通过对两组患者行不同临床治疗,对照组临床疗效较观察组明显较低,两组临床治疗有效率分别为95.00%、75.00%,两组差异有统计学意义(χ^2=5.038,P<0.05);观察组手术时长、术中出血量较对照组均较好,观察组为(80.75±19.88)min、(98.41±18.49)mL;对照组为(96.38±25.68)min、(126.18±20.69)mL,两组差异有统计学意义(t=5.317、6.391,P<0.05);观察组患者的术后并发症状明显低于对照组,两组分别为5例(12.50%)、23例(57.50%),两组差异有统计学意义(χ^2=6.281,P<0.05)。结论通过对分化型甲状腺癌患者行腹腔镜甲状腺切除术治疗,具有较为显著的治疗成效,有效的缩短了手术时长并且增长了患者的伤口愈合速率,具有临床推广意义。Objective To investigate the application of laparoscopic assisted thyroidectomy in the treatment of patients with differentiated thyroid cancer.Methods Eighty patients with differentiated thyroid cancer who were treated in the hospital from January to December 2018 were convenient enrolled in the study.According to the different treatment methods,40 cases in each group.Patients in the control group underwent open thyroidectomy.Patients in the observation group underwent laparoscopic-assisted thyroidectomy.The clinical outcomes and intraoperative blood loss were compared between the two groups.Results The clinical efficacy of the control group was significantly lower than that of the observation group.The clinical treatment efficiency of the two groups was 95.00%and 75.00%,respectively.The difference between the two groups was statistically significant(χ^2=5.038,P<0.05);The length of operation and intraoperative blood loss in the observation group were better than those in the control group,the observation group was(80.75±19.88)min,(98.41±18.49)mL;the control group was(96.38±25.68)min,(126.18±20.69)mL,the difference between the two groups was statistically significant(t=5.317,6.391,P<0.05).The postoperative complications of the observation group were significantly lower than those of the control group.The two groups were 5 cases(12.50%)and 23 cases(57.50%),respectively.Statistical significance(χ^2=6.281,P<0.05).Conclusion By laparoscopic thyroidectomy for patients with differentiated thyroid cancer,it has a significant therapeutic effect,effectively shortening the operation time and increasing the wound healing rate of patients,which has clinical significance.

关 键 词：腹腔镜辅助甲状腺切除手术 分化型甲状腺癌 治疗成效 

分 类 号：R736.1[医药卫生—肿瘤]